Provider Demographics
NPI:1770532368
Name:DE FREITAS, TRINETTE LEPORATI (PT)
Entity type:Individual
Prefix:
First Name:TRINETTE
Middle Name:LEPORATI
Last Name:DE FREITAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TRINETTE
Other - Middle Name:
Other - Last Name:LEPORATI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:P T
Mailing Address - Street 1:7310 S ALTON WAY
Mailing Address - Street 2:STE 6L
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2334
Mailing Address - Country:US
Mailing Address - Phone:303-790-4495
Mailing Address - Fax:720-488-1988
Practice Address - Street 1:1630 WELTON ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-4257
Practice Address - Country:US
Practice Address - Phone:303-892-8850
Practice Address - Fax:303-892-5844
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPT 6832225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC445328Medicare PIN