IndividualActive
Austin Lake, PT, DPT
NPI 1003305319 · Physical Therapist · Greeley, CO
Provider details
- NPI number
- 1003305319
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14911 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4681 W 20th St Unit 202b
Greeley, CO 80634
Phone: (720) 331-3687
Street-level locationGet directions
Mailing address
2212 34th Ave
Greeley, CO 80634-7547
Additional practice locations (4)
- 4800 W 25th StGreeley, CO 80634-3734Phone: (970) 330-6400
- 4800 W 25th StGreeley, CO 80634-3734Phone: (970) 330-6400
- 4401 Union StJohnstown, CO 80534-2800Phone: (970) 619-3400
- 1455 Main St Ste 170Windsor, CO 80550-5561Phone: (970) 674-8011
Registry dates
- Enumerated
- 2018-05-02
- Last updated
- 2020-03-04
- Certified
- 2020-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.