Individual provider Active NPI

Nathaniel O'Brien Hallahan, PT

  • Physical Therapist
  • Lakewood, CO
National Provider Identifier
1861626509
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9871 Issued in CO
Practice address
255 S Routt St Ste 300
Lakewood, CO 80228-2354
Phone
(720) 321-8920
NPI assigned
May 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9871 CO Primary

Addresses

Primary practice location

255 S Routt St Ste 300
Lakewood, CO 80228-2354

Mailing address

255 S Routt St Ste 300
Lakewood, CO 80228-2354
Phone (720) 321-8920

Other practice location 1

11700 W 2nd Pl Ste 255
Lakewood, CO 80228-1707
Phone (720) 321-8950

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
9871COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1241913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1861626509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S ROUTT ST STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282354",
            "telephone_number": "720-321-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S ROUTT ST STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282354",
            "telephone_number": "720-321-8920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11700 W 2nd Pl Ste 255",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281707",
            "country_code": "US",
            "telephone_number": "720-321-8950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLAHAN",
        "first_name": "NATHANIEL",
        "middle_name": "O'BRIEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-10",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.