Active NPI
Betsy Anna Frederick, PT
- Physical Therapist
- Lone Tree, CO
National Provider Identifier
1467884197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12588
- Practice address
- 10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522 - Phone
- (720) 225-1000
- NPI assigned
- Aug 5, 2013
- Last updated
- Jan 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12588 | CO | Primary |
Addresses
Primary practice location
10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Mailing address
10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14361 | NC | MD | Dentist |
| 12588 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proaxis Therapy SC, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1467884197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 RIDGEGATE PKWY",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 RIDGEGATE PKWY",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245522",
"telephone_number": "720-225-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "BETSY",
"middle_name": "ANNA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-05",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "12588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.