Individual provider Active NPI

Alexa Lee Vareldzis, DPT

  • Physical Therapist
  • Castle Rock, CO
National Provider Identifier
1932891868
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018387 Issued in CO
Practice address
2 Oakwood Park PLZ Ste 200
Castle Rock, CO 80104-1885
Phone
(720) 788-7365
Fax
(720) 294-0284
NPI assigned
May 19, 2023
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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 PTL.0018387 CO Primary

Addresses

Primary practice location

2 Oakwood Park PLZ Ste 200
Castle Rock, CO 80104-1885

Mailing address

2 Oakwood Park PLZ Ste 200
Castle Rock, CO 80104-1885
Phone (720) 788-7365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230708000394 CO Practitioner - Physical Therapist in Private Practice 9436518495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Rock Therapies, LLC Physical Therapist CurrentSince May 29, 2023 Accepting new patients
Milestone Pediatric Therapy Services, LLC Physical Therapist Past Accepting new patients
Milestone Pediatric Therapy Services Physical Therapist Past Accepting new patients
Castle Rock Therapies, LLC PastSince May 29, 2023 Accepting new patients

Locations

2 Oakwood Park Plz
Ste 200
Castle Rock, CO 80104
Phone (720) 788-7365

4700 Castleton Way
Ste 300
Castle Rock, CO 80109
Phone (720) 788-7365

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1932891868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD PARK PLZ STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041885",
            "telephone_number": "720-788-7365",
            "fax_number": "720-294-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD PARK PLZ STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041885",
            "telephone_number": "720-788-7365",
            "fax_number": "720-294-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELDZIS",
        "first_name": "ALEXA",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.