Individual provider Active NPI

Lara Baum

  • Physical Therapist
  • Golden, CO
National Provider Identifier
1679959183
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0013535 Issued in CO
Practice address
251 Violet St
Unit 150
Golden, CO 80401-6723
Phone
(303) 279-6000
NPI assigned
Aug 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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 0013535 CO Primary

Addresses

Primary practice location

251 Violet St
Unit 150
Golden, CO 80401-6723

Mailing address

251 Violet St
Unit 150
Golden, CO 80401-6723
Phone (303) 279-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180418000078 CO Practitioner - Physical Therapist in Private Practice 7618230004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

2150 Stadium Dr
Boulder, CO 80309-0001
Phone (303) 315-9900

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as apm
Quality
90.42
Promoting interoperability
91.56
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0013535COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Sep 9, 2024 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Apr 9, 2018 Accepting new patients
Boulder Community Health Current Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Apr 9, 2018 Accepting new patients

Locations

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

2150 Stadium Dr
Boulder, CO 80309
Phone (303) 315-9900

2150 Stadium Dr
Fl 2
Boulder, CO 80309
Phone (303) 315-9900

1230 Tenderfoot Hill Rd
Ste 155
Colorado Springs, CO 80906
Phone (719) 527-3383

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

660 Golden Ridge Rd
Ste 130
Golden, CO 80401
Phone (303) 275-2190

15909 Jackson Creek Pkwy
Monument, CO 80132
Phone (719) 481-0899

Organizations & group practices 5

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1679959183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 VIOLET ST",
            "address_2": "UNIT 150",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016723",
            "telephone_number": "303-279-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 VIOLET ST",
            "address_2": "UNIT 150",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016723",
            "telephone_number": "303-279-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUM",
        "first_name": "LARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0013535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.