Rachel Lauren Entrekin, DPT
Individual provider Active NPI Physical Therapist · Conifer, CO
NPI 1508393133 · NPPES record last updated Feb 27, 2025
Key facts
- NPI
- 1508393133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- CP036868T (CO)
- Practice address
- 26367 Conifer Rd Ste a
Conifer, CO 80433-9137 - Phone
- (303) 838-3900
- NPI assigned
- May 14, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210719000458 | CA | Practitioner - Physical Therapist in Private Practice | 5092087106 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP036868T | CO | MD | Physical Therapist |
| PT60747668 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select CS Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Select CS Physical Therapy, P.C. | Current |
Accepting new patients | |
| Evolution Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Evolution Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Select CS Physical Therapy, P.C. | Current |
Accepting new patients | |
| Select Physical Therapy Holdings Inc | Physical Therapist | Past | Accepting new patients |
| Select CS Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
431 W 7th St
Fl 7
Los Angeles, CA 90014
Phone (213) 624-3556
4640 Admiralty Way
Ste 420
Marina del Rey, CA 90292
Phone (424) 526-5151
1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466
935 E Ridgecrest Blvd
Ridgecrest, CA 93555
Phone (760) 371-1411
2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 299847 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapist | 225100000X | PT60747668 | WA | |
| Physical Therapist | 225100000X | CP036868T | CO | Yes |
Addresses
Primary practice location
26367 Conifer Rd Ste a
Conifer, CO 80433-9137
Mailing address
26367 Conifer Rd Ste a
Conifer, CO 80433-9137
Phone (303) 838-3900
Other practice location 1
506 12th Ave
Seattle, WA 98122-5509
Phone (206) 430-6262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2154849 | Medicaid | WA | |
| 1508393133 | Other | N/A |
Other providers in Conifer, CO
- Heather Lynn Dunlap
- Danielle Eisman
- Elevated Pathways Counseling
- Elk Creek Fire Protection District
- Amanda Jean Ennett
- Equilibrium Point Acupuncture, LLC
- Monica E Evans
- Evergreen Sport & Spine Physical Therapy PC
- Eye Consultants of Colorado LLC
- Lauren M Ferguson
All providers in Conifer, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.