1952565806 NPI number — MRS. LAUREN LYNN OSTRY DPT

Table of content: MRS. LAUREN LYNN OSTRY DPT (NPI 1952565806)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952565806 NPI number — MRS. LAUREN LYNN OSTRY DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OSTRY
Provider First Name:
LAUREN
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BUELL
Provider Other First Name:
LAUREN
Provider Other Middle Name:
LYNN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DPT
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1952565806
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/13/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6169 SOUTH BALSAM WAY
Provider Second Line Business Mailing Address:
STE 110
Provider Business Mailing Address City Name:
LITTLETON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80123-3000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-948-1868
Provider Business Mailing Address Fax Number:
303-948-1741

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6169 S BALSAM WAY
Provider Second Line Business Practice Location Address:
STE 110
Provider Business Practice Location Address City Name:
LITTLETON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80123-3000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-948-1868
Provider Business Practice Location Address Fax Number:
303-948-1741
Provider Enumeration Date:
07/10/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  10051 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10051 . This is a "PHYSICAL THERAPIST" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com