Individual provider Active NPI

Isaiah Faas

  • Physical Therapist
  • Lafayette, CO
National Provider Identifier
1972112142
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017141 Issued in CO
Practice address
2695 Northpark Dr Ste 102
Lafayette, CO 80026-3177
Phone
(303) 926-1796
NPI assigned
Jul 23, 2020
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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.0017141 CO Primary

Addresses

Primary practice location

2695 Northpark Dr Ste 102
Lafayette, CO 80026-3177

Mailing address

2900 Cormorant PL
Longmont, CO 80503-9264

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200820003353 CO Practitioner - Physical Therapist in Private Practice 6406272483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ferrington Physical Therapy, LLC Physical Therapist CurrentSince Aug 5, 2020 Accepting new patients
Inspire Sports Physical Therapy LLC Physical Therapist PastSince Apr 21, 2024 Accepting new patients

Locations

2695 Northpark Dr
Ste 102
Lafayette, CO 80026
Phone (303) 926-1796

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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1972112142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORMORANT PL",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805039264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 NORTHPARK DR STE 102",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263177",
            "telephone_number": "303-926-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAAS",
        "first_name": "ISAIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 23, 2020; 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.