Individual provider Active NPI

David Gregory Loken, PT

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1437630316
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0015734 Issued in CO
Practice address
1939 Wilmington Dr Unit 101
Fort Collins, CO 80528-6104
Phone
(970) 377-1422
NPI assigned
Aug 28, 2018
Last updated
Aug 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0015734 CO Primary

Addresses

Primary practice location

1939 Wilmington Dr Unit 101
Fort Collins, CO 80528-6104

Mailing address

2906 Mercy Dr
Fort Collins, CO 80526-6250
Phone (815) 222-2587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190306000657 CO Practitioner - Physical Therapist in Private Practice 5597004770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and RehabilitationGroup PAC ID 0648167767, 7 clinicians

Practice addresses (Care Compare)

343 W Drake Rd
Suite 102
Fort Collins, CO 80526-2880
Phone (970) 204-9635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0015734COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Physical Therapy, Inc Physical Therapist CurrentSince Jul 15, 2019 Accepting new patients
Advanced Spine & Rehabilitation Physical Therapist CurrentSince Dec 19, 2020 Accepting new patients
Momentum Physical Therapy PC Past Accepting new patients

Locations

2121 E Harmony Rd
Unit 310
Fort Collins, CO 80528
Phone (970) 221-3855

343 W Drake Rd
Ste 102
Fort Collins, CO 80526
Phone (970) 204-9635

470 Johnson Rd
Ste 100
Washington, PA 15301

Organizations & group practices 3

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1437630316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 MERCY DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266250",
            "telephone_number": "815-222-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 WILMINGTON DR UNIT 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286104",
            "telephone_number": "970-377-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOKEN",
        "first_name": "DAVID",
        "middle_name": "GREGORY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.