Individual provider Active NPI

Carol Cropp, MSPT

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1003948142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5439 Issued in CO
Practice address
2935 Baseline Rd Ste 300
Boulder, CO 80303-2367
Phone
(303) 444-2951
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5439 CO Primary

Addresses

Primary practice location

2935 Baseline Rd Ste 300
Boulder, CO 80303-2367

Mailing address

1203 Stein St
Lafayette, CO 80026-1833

Other identifiers 1

IdentifierTypeStateIssuer
5439OtherCOPT LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001387 CO Practitioner - Physical Therapist in Private Practice 6800988841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and RehabilitationGroup PAC ID 0648167767, 7 clinicians

Practice addresses (Care Compare)

343 W Drake Rd
Suite 102
Fort Collins, CO 80526-2880
Phone (970) 204-9635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5439COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine & Rehabilitation Physical Therapist CurrentSince Jul 9, 2007 Accepting new patients
Coreance, Inc. Physical Therapist Past Accepting new patients

Locations

343 W Drake Rd
Ste 102
Fort Collins, CO 80526
Phone (970) 204-9635

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003948142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 STEIN ST",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 BASELINE RD STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032367",
            "telephone_number": "303-444-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROPP",
        "first_name": "CAROL",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "5439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE #",
            "identifier": "5439",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.