Individual provider Active NPI

Lauren Marie Smith

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1619859121
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0020721 Issued in CO
Practice address
4251 Kipling St Unit 405
Wheat Ridge, CO 80033-6833
Phone
(303) 932-2030
NPI assigned
Jul 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 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 0020721 CO Primary

Addresses

Primary practice location

4251 Kipling St Unit 405
Wheat Ridge, CO 80033-6833

Mailing address

3550 W 38TH Ave Apt 271
Denver, CO 80211-1995
Phone (630) 487-0445

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023001219 CO Practitioner - Physical Therapist in Private Practice 7012405814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4251 Kipling St
Unit 405
Wheat Ridge, CO 80033-6833
Phone (303) 932-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0020721COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Cognitive and Linguistic Center Inc CurrentSince Aug 4, 2025 Accepting new patients
Boulder Cognitive and Linguistic Center Inc CurrentSince Aug 4, 2025 Accepting new patients

Locations

4251 Kipling St
Unit 405
Wheat Ridge, CO 80033
Phone (303) 932-2030

Organizations & group practices 2

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": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1619859121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 W 38TH AVE APT 271",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111995",
            "telephone_number": "630-487-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST UNIT 405",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336833",
            "telephone_number": "303-932-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0020721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.