Active NPI
Elizabeth Calder Park, DPT, CSCS
- Physical Therapist
- Englewood, CO
National Provider Identifier
1780995191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10812
- Practice address
- 175 Inverness Dr W Ste 100
Englewood, CO 80112-5066 - Phone
- (303) 694-3333
- NPI assigned
- Jun 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10812 | CO | Primary |
Addresses
Primary practice location
175 Inverness Dr W Ste 100
Englewood, CO 80112-5066
Mailing address
2887 E Euclid Ave
Centennial, CO 80121-2905
Phone (720) 982-3044
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10812 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1780995191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2887 E EUCLID AVE",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801212905",
"telephone_number": "720-982-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 INVERNESS DR W STE 100",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125066",
"telephone_number": "303-694-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "ELIZABETH",
"middle_name": "CALDER",
"name_prefix": "Dr.",
"credential": "DPT, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.