Individual provider Active NPI

Tamara S Faktor, PT

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1942243159
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2220 Issued in CO
Practice address
9830 I-70 Frontage Road South
Wheat Ridge, CO 80033-1724
Phone
(303) 467-4100
Fax
(303) 420-0836
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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 2220 CO Primary

Addresses

Primary practice location

9830 I-70 Frontage Road South
Wheat Ridge, CO 80033-1724

Mailing address

9830 I-70 Frontage Road South
Wheat Ridge, CO 80033-1724
Phone (303) 467-4100

Other identifiers 1

IdentifierTypeStateIssuer
18834531MedicaidCO

Other names 1

  • Tamara S Brown Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1942243159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 I-70 FRONTAGE ROAD SOUTH",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331724",
            "telephone_number": "303-467-4100",
            "fax_number": "303-420-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 I-70 FRONTAGE ROAD SOUTH",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331724",
            "telephone_number": "303-467-4100",
            "fax_number": "303-420-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKTOR",
        "first_name": "TAMARA",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18834531",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "BROWN",
            "middle_name": "S",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.