Lara Jean McMaster, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0014805 Issued in CO

Practice address

4500 E Cherry Creek South Dr
Glendale, CO 80246-1518

Phone

(303) 432-8487

NPI assigned

Aug 28, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1710590609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 N FRANKLIN ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032552",
            "telephone_number": "715-214-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E CHERRY CREEK SOUTH DR",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461518",
            "telephone_number": "303-432-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMASTER",
        "first_name": "LARA",
        "middle_name": "JEAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0014805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Albert Markijohn, D.C.
• Emily Stevens Marsh
• Maxim Staffing Company
• Mary Beth McAndrew
• Grant Austin McDonough, D.C.
• Mga Home Healthcare Colorado, LLC
• Kristi Lyn Mihok, RPH
• Mile High Community Connections LTD
• Mile High Medical Service
• Collin Miller

• Physical Therapy Assistant in Glendale, CO
• Providers in Glendale, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.