Active NPI
Lisa Walde, PT, DPT
- Physical Therapist
- Estes Park, CO
National Provider Identifier
1619376258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12702
- Practice address
- 1751 N Lake Ave Unit 101
Estes Park, CO 80517-9448 - Phone
- (970) 577-8200
- NPI assigned
- Aug 20, 2014
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12702 | CO | Primary |
Addresses
Primary practice location
1751 N Lake Ave Unit 101
Estes Park, CO 80517-9448
Mailing address
1751 N Lake Ave Unit 101
Estes Park, CO 80517-9448
Phone (970) 577-8200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408492800000",
"number": "1619376258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 N LAKE AVE UNIT 101",
"city": "ESTES PARK",
"state": "CO",
"postal_code": "805179448",
"telephone_number": "970-577-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 N LAKE AVE UNIT 101",
"city": "ESTES PARK",
"state": "CO",
"postal_code": "805179448",
"telephone_number": "970-577-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDE",
"first_name": "LISA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "12702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Estes Park, CO
- Uchealth Estes Valley Medical Center
- Uchealth Estes Valley Medical Center (Estes Park Health Urgent Care)
- Uchealth Estes Valley Medical Center (Estes Park Health)
- Guy P Van Der Werf, MD
- James Villemonte, DDS
- Eliska C Webster, PA-C
- Curtis P Weibel, F.N.P.-C
- Wellness Way Estes Park LLC
- Wellspring Group
- Mark L Wiesner, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.