Healthcare Provider Details

I. General information

NPI: 1811182686
Provider Name (Legal Business Name): KAREN E WORTHAM PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN E TALKINTON PT, DPT

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 E FLORIDA AVE SUITE 330
DENVER CO
80210-2571
US

IV. Provider business mailing address

3801 E FLORIDA AVE SUITE 330
DENVER CO
80210-2571
US

V. Phone/Fax

Practice location:
  • Phone: 303-370-2670
  • Fax: 303-370-2696
Mailing address:
  • Phone: 303-370-2670
  • Fax: 303-370-2696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number9658
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number9658
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9658
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: