Active NPI
Dana Gage, PTA
- Rehabilitation Clinic/Center
- Durango, CO
National Provider Identifier
1801200795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- PTA.0013298
- Practice address
- 450 Prospector Ave
Durango, CO 81301-7940 - Phone
- (505) 716-6942
- NPI assigned
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | PTA.0013298 | CO | Primary |
Addresses
Primary practice location
450 Prospector Ave
Durango, CO 81301-7940
Mailing address
301 Mesilla Dr Apt 3
Aztec, NM 87410-1545
Phone (505) 716-6942
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.0013298 | CO | MD | Rehabilitation Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1801200795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MESILLA DR APT 3",
"city": "AZTEC",
"state": "NM",
"postal_code": "874101545",
"telephone_number": "505-716-6942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 PROSPECTOR AVE",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017940",
"telephone_number": "505-716-6942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGE",
"first_name": "DANA",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "CO",
"license": "PTA.0013298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.