Individual provider Active NPI

Katherine Sage

  • Geriatric Physical Therapist
  • Lakewood, CO
National Provider Identifier
1477960565
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PTL.0012714 Issued in CO
Practice address
7405 W Arizona PL
Lakewood, CO 80232-5416
Phone
(701) 400-5059
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0012714 CO
Geriatric Physical Therapist 2251G0304X PTL.0012714 CO Primary

Addresses

Primary practice location

7405 W Arizona PL
Lakewood, CO 80232-5416

Mailing address

7405 W Arizona PL
Lakewood, CO 80232-5416
Phone (701) 400-5059

Other practice location 1

6800 Leetsdale Dr
Denver, CO 80224-1588
Phone (303) 331-9963

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210702002233 CO Practitioner - Physical Therapist in Private Practice 7618378290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0012714COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roaming Rehab LLC Physical Therapist CurrentSince Jun 13, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1477960565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 W ARIZONA PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325416",
            "telephone_number": "701-400-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 W ARIZONA PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325416",
            "telephone_number": "701-400-5059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 Leetsdale Dr",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802241588",
            "country_code": "US",
            "telephone_number": "303-331-9963",
            "fax_number": "720-941-2945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGE",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012714",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CO",
            "license": "PTL.0012714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.