Annaleise Lake, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0017434 Issued in CO

Practice address

9116 W Bowles Ave Ste 10
Littleton, CO 80123-3477

Phone

(303) 978-9200

NPI assigned

Jan 6, 2021

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

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradford Physical Therapy PCGroup PAC ID 5193933729, 7 clinicians

Practice addresses (Care Compare)

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.

• Bradford Physical Therapy PC

  dba Ascent Therapy Clinic

  • Physical Therapist
  • Littleton, CO
  • NPI 1124204508
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1942898887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11241 W UTAH PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9116 W BOWLES AVE STE 10",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233477",
            "telephone_number": "303-978-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "ANNALEISE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0017434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Laffin
• Jesse Lahr, PHARMD
• Saadia Lahsen
• Jeffrey Laird, PA
• Lake Family Dental
• Lakeview Family Medicine PC
• Jacob John Laluya
• Heather Elizabeth Lam, MS CCC-SLP
• Shirley Ann Lamb, RN
• Lindsey Summers Lambert, MA, LAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.