Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter Fathallah, PT

Individual provider Physical Therapist · NPI 1073890471

Peter Fathallah, PT is a Physical Therapist in Private Practice in Lakewood, Colorado. Qualified in 2011, 15 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
15
Licensed in
CO
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

8383 W Alameda Ave
Lakewood, CO 80226-3007
Phone: (303) 338-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1375 E 20th Ave, Denver, CO 80205 — (303) 338-4545

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11419 (CO)

Record details

NPI number1073890471
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 14, 2011
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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