Lisa Michelle Corken, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00012173 Issued in CO

Practice address

1000 Alpine Ave
Suite 291
Boulder, CO 80304-3406

Phone

(303) 444-0378

NPI assigned

Jul 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Michelle Adams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Altitude Physical Therapy & Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Longmont, CO
  • NPI 1235729567
  NPD (past)

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1487096921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ALPINE AVE",
            "address_2": "SUITE 291",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043406",
            "telephone_number": "303-444-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ALPINE AVE",
            "address_2": "SUITE 291",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043406",
            "telephone_number": "303-444-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKEN",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "00012173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ADAMS",
            "middle_name": "MICHELLE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Cordaro Jr., MD
• Kirsten Elaine Cordisco
• Charina Gaston Cordova-Velayo, LMFT
• Coreance, Inc.
• Jasmin Lee Cori, LPC
• Jacob Corley, LMT
• Kimberley Cornell, M.A., CCC-SLP
• Cornerstone Caregiving West LLC
• Jade Corpus-Sapida, OD
• Neian R Corr

• Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.