Ted Neil Layne, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1542 Issued in CO

Practice address

3000 Center Green Dr
110
Boulder, CO 80301-2364

Phone

(303) 449-3431

Fax

(303) 447-3390

NPI assigned

Jul 7, 2005

Last updated

Feb 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dia Physical Therapy, LLP

  • Physical Therapist
  • Aurora, CO
  • NPI 1194781914
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203120000000",
    "number": "1760489512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 BROKEN FENCE RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803029607",
            "telephone_number": "303-449-3431",
            "fax_number": "303-447-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CENTER GREEN DR",
            "address_2": "110",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012364",
            "telephone_number": "303-449-3431",
            "fax_number": "303-447-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "TED",
        "middle_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "1542",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin G Lawson III, M.A.
• Laycock Dentistry P.C.
• Stephen W Laycock, D.D.S.
• Debra Jan Layne, PT
• Stephen Layne, MD
• Kristina Marie Layton
• Thien-Thao Le, DDS, MD
• Tien Le, PHARMD
• Leah Hagemann, Ms-Otr, P.C.
• Thiago Leao

• Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2008; 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.