Individual provider Active NPI

Anthony William Lareau, PT, DPT

  • Physical Therapist
  • Westminster, CO
National Provider Identifier
1548069479
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020410 Issued in CO
Practice address
4550 Main St Unit 200
Westminster, CO 80031-5175
Phone
(720) 497-6162
Fax
(720) 497-6723
NPI assigned
Mar 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 PTL.0020410 CO Primary

Addresses

Primary practice location

4550 Main St Unit 200
Westminster, CO 80031-5175

Mailing address

3490 Hayden PL Apt 3
Boulder, CO 80301-1932
Phone (608) 225-8454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408001488 CO Practitioner - Physical Therapist in Private Practice 5395269641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panorama Orthopedics and Spine Center PCGroup PAC ID 8426961087, 316 clinicians

Practice addresses (Care Compare)

4550 Main St
Unit 200
Westminster, CO 80031-5175
Phone (303) 233-1223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0020410COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Mar 12, 2025 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Mar 12, 2025 Accepting new patients

Locations

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

4550 Main St
Unit 200
Westminster, CO 80031
Phone (720) 497-6162

Organizations & group practices 3

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": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1548069479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 HAYDEN PL APT 3",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011932",
            "telephone_number": "608-225-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 MAIN ST UNIT 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800315175",
            "telephone_number": "720-497-6162",
            "fax_number": "720-497-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAREAU",
        "first_name": "ANTHONY",
        "middle_name": "WILLIAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.