Individual provider Active NPI

Daniela Pallares-Hopkins

  • Pediatric Physical Therapist
  • Lafayette, CO
National Provider Identifier
1952716334
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Practice address
1201 Warrior Way
Lafayette, CO 80026-2807
Phone
(770) 570-9431
NPI assigned
Jun 24, 2014
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0012740 CO
Pediatric Physical Therapist 2251P0200X Primary

Addresses

Primary practice location

1201 Warrior Way
Lafayette, CO 80026-2807

Mailing address

1201 Warrior Way
Lafayette, CO 80026-2807
Phone (770) 570-9431

Other names 1

  • Miss Maria Daniela Pallares Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140915001993 CO Practitioner - Physical Therapist in Private Practice 7416176979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0012740COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Path Therapy LLC Single Specialty CurrentSince May 28, 2023 Accepting new patients
Waldron's Peak Physical Therapy, P.C. Single Specialty CurrentSince Jun 30, 2014 Accepting new patients

Locations

5387 Manhattan Cir
#100A
Boulder, CO 80303

5387 Manhattan Cir
Ste 100A
Boulder, CO 80303
Phone (303) 499-6818

Organizations & group practices 2

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1952716334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WARRIOR WAY",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262807",
            "telephone_number": "770-570-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WARRIOR WAY",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262807",
            "telephone_number": "770-570-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLARES-HOPKINS",
        "first_name": "DANIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0012740",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "PALLARES",
            "middle_name": "DANIELA",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.