Individual provider Active NPI

Lauren Raphael, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Parker, CO
National Provider Identifier
1659977767
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PTL.0016993 Issued in CO
Practice address
18425 Pony Express Dr Unit 117
Parker, CO 80134-9605
Phone
(847) 644-9668
NPI assigned
Dec 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PTL.0016993 CO Primary

Addresses

Primary practice location

18425 Pony Express Dr Unit 117
Parker, CO 80134-9605

Mailing address

18425 Pony Express Dr Unit 117
Parker, CO 80134-9605
Phone (847) 644-9668

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jane Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0016993COMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raphael Physio, LLC Current Accepting new patients

Locations

18425 Pony Express Dr
Unit 117
Parker, CO 80134
Phone (847) 644-9668

Organizations & group practices 1

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": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1659977767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 PONY EXPRESS DR UNIT 117",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349605",
            "telephone_number": "847-644-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 PONY EXPRESS DR UNIT 117",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349605",
            "telephone_number": "847-644-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "LAUREN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-05",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "PTL.0016993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jane",
            "affiliation": "N",
            "endpointDescription": "electronic medical record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical history, charting, billing",
            "address_1": "18425 Pony Express Dr Unit 117",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801349605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.