Michelle Perse, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0013020 Issued in CO

Practice address

4115 Club Manor Drive
Pueblo, CO 81008

Phone

(719) 568-9790

NPI assigned

Nov 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michelle Ducy Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Synergy Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Pueblo, CO
  • NPI 1437572583

  Physical Therapist

  Medicare reassignment NPD
• Institute for Total Rehabilitation

  • Physical Therapist
  • Pueblo, CO
  • NPI 1417016536
  NPD
• Institute for Total Rehabilitation

  • Physical Therapy Clinic/Center
  • Pueblo, CO
  • NPI 1942926738
  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1013313113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 CLUB MANOR DRIVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-568-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 CLUB MANOR DRIVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-568-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSE",
        "first_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2023-04-04",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0013020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96254742",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DUCY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Perko
• Arlene Perry
• Donna Perry
• Leah M. Perry
• Troy Victor Perry, PHYSICAL THERAPIST A
• Kelli Sue Pershin, DDS
• Katrina Peter
• Peterson Chiropractic Clinic PC
• Alysia C Peterson, CCC-SLP
• Arlin Ray Peterson, DPM

• Physical Therapist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.