Edith E Decraene, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3525 Issued in CO

Practice address

2942 Evergreen Pkwy
Ste 100
Evergreen, CO 80439-7909

Phone

(303) 670-4802

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elevation Health, LLC

  • Orthopedic Physical Therapist
  • Evergreen, CO
  • NPI 1457963183
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1902991920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 EVERGREEN PKWY STE 100",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 EVERGREEN PKWY",
            "address_2": "STE 100",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397909",
            "telephone_number": "303-670-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECRAENE",
        "first_name": "EDITH",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Dauphinais
• Mary Davis, LMT
• Maria Carmela De Luna, DPT, ATC
• Thomas Deal, D.D.S.
• Deborah M Rosenberg PHD LLC
• Yvonne Nicole Delzenero-Mehlberg, PH.D.
• Sahar Behrouz Detlefsen, RN
• Mary Patricia Dewald, APRN, RN, NP, CNS
• Carrie Diflumeri, M.P.T.
• Dillon Companies LLC

• Physical Therapist in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.