Individual provider Active NPI

Lisa Duncan

  • Physical Therapist
  • Louisville, CO
National Provider Identifier
1992162598
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3817 Issued in NM
Practice address
335 W South Boulder Rd Ste 1
Louisville, CO 80027-1192
Phone
(303) 954-8623
NPI assigned
Jan 27, 2016
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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 3817 NM Primary

Addresses

Primary practice location

335 W South Boulder Rd Ste 1
Louisville, CO 80027-1192

Mailing address

335 W South Boulder Rd Ste 1
Louisville, CO 80027-1192
Phone (303) 954-8423

Other practice location 1

405 N Date St Ste 8
T Or C, NM 87901-2378
Phone (575) 894-7589

Other identifiers 2

IdentifierTypeStateIssuer
3817OtherNMSTATE OF NM PHYSICAL THERAPIST LICENSE
PTL.0016024OtherCOLICENSE

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

State licenses

LicenseStateTypeSpecialty
3817NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Action Physical Therapy Physical Therapist CurrentSince Jan 10, 2024 Accepting new patients
Southwest Regional Education Cooperative Past Accepting new patients

Locations

150 Old Laramie Trl
Unit 100
Lafayette, CO 80026
Phone (303) 665-8747

Interoperability endpoints

  • Direct secure messaging: lduncan172021@uihcdirect.org

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": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1992162598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 W SOUTH BOULDER RD STE 1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271192",
            "telephone_number": "303-954-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W SOUTH BOULDER RD STE 1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271192",
            "telephone_number": "303-954-8623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 N Date St Ste 8",
            "address_purpose": "LOCATION",
            "city": "T OR C",
            "state": "NM",
            "postal_code": "879012378",
            "country_code": "US",
            "telephone_number": "575-894-7589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NM PHYSICAL THERAPIST LICENSE",
            "identifier": "3817",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PTL.0016024",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.