Elizabeth Clarita Zevenbergen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6505 Issued in CO

Practice address

135 Circle Dr
Fort Collins, CO 80524-4105

Phone

(970) 568-2575

NPI assigned

Mar 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Clarita Dralle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Performance Physical Therapy & Rehabilitation , PC

  • Physical Therapist
  • Fort Collins, CO
  • NPI 1144336835
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1831167469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CIRCLE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244105",
            "telephone_number": "970-568-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CIRCLE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244105",
            "telephone_number": "970-568-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEVENBERGEN",
        "first_name": "ELIZABETH",
        "middle_name": "CLARITA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DRALLE",
            "middle_name": "CLARITA",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tara S Zeller, D.C.
• Vivian Zeng, PA-C
• Elina Zentz, LPC
• Sarah Zentz
• Rushton Stroud Zepernick, D.O.
• Alec Jay Ziebarth
• Tracy Elizabeth Ziebell, MA, MDIV
• Angela M Ziegler, BA
• Anna Elizabeth Ziegler, MD
• Daniel Ziegler

• Physical Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.