Active NPI
Debra Marie Petty, MSPT
- Specialist
- Loveland, CO
National Provider Identifier
1497868467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6209
- Practice address
- 286 E 29TH St
Loveland, CO 80538-2733 - Phone
- (970) 663-3720
- Fax
- (970) 667-7682
- NPI assigned
- Aug 16, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 6209 | CO | Primary |
Addresses
Primary practice location
286 E 29TH St
Loveland, CO 80538-2733
Mailing address
1388 Seven Lakes Dr
Loveland, CO 80538-7213
Phone (970) 669-6727
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 |
|---|---|---|---|
| 6209 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Dynamics | 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 and National Provider Directory roles.
-
- Physical Therapist
- Westminster, CO
- NPI 1538161021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497868467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1388 SEVEN LAKES DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805387213",
"telephone_number": "970-669-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 E 29TH ST",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805382733",
"telephone_number": "970-663-3720",
"fax_number": "970-667-7682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTY",
"first_name": "DEBRA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "6209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.