Individual provider Active NPI

Lori Holstein, PTA

  • Physical Therapy Assistant
  • Englewood, CO
National Provider Identifier
1427926179
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0014062 Issued in CO
Practice address
750 W Hampden Ave Ste 425
Englewood, CO 80110-2099
Phone
(720) 647-3456
NPI assigned
Oct 24, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0014062 CO Primary

Addresses

Primary practice location

750 W Hampden Ave Ste 425
Englewood, CO 80110-2099

Mailing address

2804 E Nichols Cir
Centennial, CO 80122-3476
Phone (631) 793-8253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0014062COMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Corporation CurrentSince Nov 7, 2025 Accepting new patients
Fuller Balance Therapy and Education CurrentSince Nov 7, 2025 Accepting new patients

Locations

750 W Hampden Ave
Ste 425
Englewood, CO 80110
Phone (303) 777-0303

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1427926179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 E NICHOLS CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223476",
            "telephone_number": "631-793-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W HAMPDEN AVE STE 425",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102099",
            "telephone_number": "720-647-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTEIN",
        "first_name": "LORI",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0014062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.