Audrey Elise Deharty, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10112 Issued in CO

Practice address

1270 N Ford St
Golden, CO 80403-1967

Phone

(303) 271-0430

NPI assigned

Nov 10, 2010

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

Medicare fee-for-service enrollment

Enrolled in CO, OR2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation Colorado, LLC

  • Multi-Specialty Clinic/Center
  • Denver, CO
  • NPI 1063176493

  CO, Physical Therapist

  Medicare reassignment NPD
• Premere Rehab LLC

  • Physical Therapist
  • Wilsonville, OR
  • NPI 1245278639

  OR, Physical Therapist

  Medicare reassignment NPD
• Premere Rehab LLC

  • Physical Therapist
  • Golden, CO
  • NPI 1962702811

  CO

  Medicare reassignment

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1497056162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S CORONA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092427",
            "telephone_number": "402-305-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 N FORD ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031967",
            "telephone_number": "303-271-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHARTY",
        "first_name": "AUDREY",
        "middle_name": "ELISE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Davis, DC
• Ruth Ellen Davis, PA
• Michelle Dawn
• Jack Connor De Burgh, DPT
• Alexandra Lauren De Maio, CSFA
• Douglas Dejoseph, FNP-C
• Sara Dellinger, PHARMD
• Cara Demme-Pratt, RD
• Denver Biomedical, Inc.
• Denver Pain and Spine

• All providers in Golden, CO
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.