Active NPI
Dorothy L Tarvestad, PT
- Physical Therapist
- Englewood, CO
National Provider Identifier
1841414299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2427
- Practice address
- 125 E Hampden Ave
Englewood, CO 80113-2546 - Phone
- (303) 788-9200
- Fax
- (303) 788-9265
- NPI assigned
- Apr 13, 2007
- Last updated
- Mar 7, 2008
- 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 | 2427 | CO | Primary |
Addresses
Primary practice location
125 E Hampden Ave
Englewood, CO 80113-2546
Mailing address
720 S Colorado Blvd
Suite 220
Glendale, CO 80246-1904
Phone (303) 584-8231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066615 | Other | CO | MEDICARE GROUP NUMBER |
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 |
|---|---|---|---|
| 2427 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1841414299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S COLORADO BLVD",
"address_2": "SUITE 220",
"city": "GLENDALE",
"state": "CO",
"postal_code": "802461904",
"telephone_number": "303-584-8231",
"fax_number": "303-584-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E HAMPDEN AVE",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132546",
"telephone_number": "303-788-9200",
"fax_number": "303-788-9265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARVESTAD",
"first_name": "DOROTHY",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "2427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "066615",
"state": "CO"
}
],
"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 Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.