Individual provider Active NPI

Rebekah Ann Lurtz, PTA

  • Physical Therapy Assistant
  • Golden, CO
National Provider Identifier
1851745665
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA.0013702 Issued in CO
Practice address
251 Violet St Ste 150
Golden, CO 80401-6724
Phone
(303) 279-6000
Fax
(303) 279-7799
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA.0013702 CO Primary

Addresses

Primary practice location

251 Violet St Ste 150
Golden, CO 80401-6724

Mailing address

251 Violet St Ste 150
Golden, CO 80401-6724
Phone (303) 279-6000

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

LicenseStateTypeSpecialty
PTA.0013702COMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1851745665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 VIOLET ST STE 150",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016724",
            "telephone_number": "303-279-6000",
            "fax_number": "303-279-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 VIOLET ST STE 150",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016724",
            "telephone_number": "303-279-6000",
            "fax_number": "303-279-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURTZ",
        "first_name": "REBEKAH",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0013702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.