Blue Feathers, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BLUE FEATHERS, PLLC

Doing business as

Direct Source Physical Therapy

Practice address

11990 Grant St Ste 550
Northglenn, CO 80233-1101

Phone

(303) 219-0443

NPI assigned

Aug 15, 2023

Last updated

Aug 15, 2023By 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

Aundrea Lucero, PT, DPTNPI 1659824001

Title

Owner/Operator

Phone

(303) 219-0443

Specialties & licenses 1

Addresses

Other names 1

• Direct Source Physical Therapy Doing business as

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.

• Aundrea Vanessa Lucero, DPT

  • Physical Therapist
  • Denver, CO
  • NPI 1659824001
  NPD Authorized official

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1821871823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 GRANT ST STE 550",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331101",
            "telephone_number": "303-219-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 GRANT ST STE 550",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331101",
            "telephone_number": "303-219-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE FEATHERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "AUNDREA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "303-219-0443",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Source Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Ryan Blaskowski
• Anne Elise Bleiler, LPCC
• Jenna Blockhus, M.S.
• Zoe Blubaugh, BCBA
• Blue Channel Therapy
• Jennifer Blum, RN
• Michael D Boerner, D.C.
• Hillary Bohlander
• Jayda Bolan
• Krista Borden

• Physical Therapy Clinic/Center in Northglenn, CO
• Providers in Northglenn, 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 Aug 15, 2023; 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.