Start Active Recovery, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

START ACTIVE RECOVERY, LLC

Practice address

13701 W Jewell Ave Ste 113
Lakewood, CO 80228-4172

Phone

(720) 272-8417

NPI assigned

Oct 1, 2020

Last updated

Oct 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Sue Custer, PTA

Title

Owner/Founder

Phone

(720) 272-8417

Specialties & licenses 5

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Garber

  • Physical Therapy Assistant
  • Monument, CO
  • NPI 1023273711
  NPD

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1790382919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 W JEWELL AVE STE 113",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284172",
            "telephone_number": "720-272-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 W JEWELL AVE STE 113",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284172",
            "telephone_number": "720-272-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START ACTIVE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "CUSTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "720-272-8417",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Stanley
• Jennifer Stapen, NP
• Christopher Grant Staples, M.D.
• Starbright Connections LLC
• Thomas Starkey Jr., MD
• Station Therapy LLC
• Michelle Stauffer, DPT
• Alison Staun
• Megan E Stautz
• Jamie Steadman, FNP-C

• Physical Therapy Clinic/Center in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.