Petra Landfester, P.T.
Individual provider Active NPI Physical Therapist · Boulder, CO
NPI 1699033746 · NPPES record last updated Apr 26, 2012
Key facts
- NPI
- 1699033746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5349 (CO)
- Practice address
- 4150 Darley Ave
Suite 8
Boulder, CO 80305-6557 - Phone
- (303) 494-4100
- NPI assigned
- Apr 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5349 | CO | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Solutions Physical Therapy, P.C. | Current |
Accepting new patients |
Locations
4150 Darley Ave
Ste 8
Boulder, CO 80305
Phone (303) 494-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5349 | CO | Yes |
| Geriatric Physical Therapist | 2251G0304X | 5349 | CO | |
| Neurology Physical Therapist | 2251N0400X | 5349 | CO | |
| Pediatric Physical Therapist | 2251P0200X | 5349 | CO | |
| Orthopedic Physical Therapist | 2251X0800X | 5349 | CO |
Addresses
Primary practice location
4150 Darley Ave
Suite 8
Boulder, CO 80305-6557
Mailing address
2000 Bluebell Ave
Boulder, CO 80302-8026
Phone (303) 449-5637
Other providers in Boulder, CO
- April Lampert
- Mariah Lamy
- Amaya Lancaster
- Debbie A Lancaster
- Judith Landau
- Lauren Landy-Sollie
- Kristina Lane
- Deborah Laner
- Brent R. Lang
- Jeffrey Lang
All providers in Boulder, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.