Individual provider Active NPI

Bethany Lubacz, P.T.

  • Physical Therapist
  • Westminster, CO
National Provider Identifier
1558301754
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014952 Issued in IL
Practice address
500 W 144TH Ave Ste 230
Westminster, CO 80023-9328
Phone
(303) 665-2603
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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 070014952 IL Primary

Addresses

Primary practice location

500 W 144TH Ave Ste 230
Westminster, CO 80023-9328

Mailing address

8101 E Lowry Blvd Ste 120
Denver, CO 80230-7195
Phone (720) 865-6072

Other practice location 1

19841 Wolf Rd
Mokena, IL 60448-1315
Phone (708) 479-0320

Other practice location 2

3 Superior Dr Ste 225
Superior, CO 80027-8661
Phone (303) 665-2603

Other names 1

  • Bethany Daniels Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801000560 CO Practitioner - Physical Therapist in Private Practice 3870502990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Denver, CO 80246
Phone (866) 525-3175

500 W 144TH Ave
230 Cornerstone
Westminster, CO 80023-9328
Phone (303) 665-2603

Merit-based Incentive Payment System (MIPS)

Final score
98.59 of 100Reported as apm
Quality
92.87
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

Merit-based Incentive Payment System (MIPS)

Final score
84.65 of 100Reported as group
Quality
84.45
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 20, 2024 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 20, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 20, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Advanced Physicians, S.C. Past Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

3 Superior Dr
Ste 225
Superior, CO 80027
Phone 3036652603106

500 W 144th Ave
Ste 230
Westminster, CO 80023
Phone 3036652603 ext. 223

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1558301754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 E LOWRY BLVD STE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307195",
            "telephone_number": "720-865-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 144TH AVE STE 230",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239328",
            "telephone_number": "303-665-2603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19841 Wolf Rd",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604481315",
            "country_code": "US",
            "telephone_number": "708-479-0320",
            "fax_number": "708-479-3695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Superior Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "CO",
            "postal_code": "800278661",
            "country_code": "US",
            "telephone_number": "303-665-2603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUBACZ",
        "first_name": "BETHANY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "DANIELS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 15, 2023; 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.