Individual provider Active NPI

Merichele Fojut, P.T.

  • Physical Therapist
  • Lakewood, CO
National Provider Identifier
1497785570
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6107 Issued in CO
Practice address
274 Union Blvd
Ste. 100
Lakewood, CO 80228-1813
Phone
(303) 232-9391
Fax
(303) 232-9523
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6107 CO Primary

Addresses

Primary practice location

274 Union Blvd
Ste. 100
Lakewood, CO 80228-1813

Mailing address

920 S Foothill Dr
Lakewood, CO 80228-3081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080805000751 CO Practitioner - Physical Therapist in Private Practice 9638243967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1805 Kipling St
Lakewood, CO 80215-2871
Phone (303) 232-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Healthcare Associates, Lpa Physical Therapist CurrentSince May 1, 2008 Accepting new patients

Locations

1805 Kipling St
Ste 109
Lakewood, CO 80215
Phone (303) 232-7800

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497785570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S FOOTHILL DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 UNION BLVD",
            "address_2": "STE. 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281813",
            "telephone_number": "303-232-9391",
            "fax_number": "303-232-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOJUT",
        "first_name": "MERICHELE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6107",
            "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 Jul 8, 2007; 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.