Individual provider Active NPI

Carrissa Shea Erdely, DPT

  • Orthopedic Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1023654720
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTL.0016718 Issued in CO
Practice address
202 E Cheyenne Mountain Blvd Ste N
Colorado Springs, CO 80906-3769
Phone
(719) 533-1318
Fax
(719) 533-1319
NPI assigned
Nov 18, 2019
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTL.0016718 CO Primary

Addresses

Primary practice location

202 E Cheyenne Mountain Blvd Ste N
Colorado Springs, CO 80906-3769

Mailing address

202 E Cheyenne Mountain Blvd Ste N
Colorado Springs, CO 80906-3769
Phone (719) 533-1318

Other identifiers 1

IdentifierTypeStateIssuer
9000179216MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130000929 CO Practitioner - Physical Therapist in Private Practice 0941636575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

202 E Cheyenne Mountain Blvd
Suite N
Colorado Springs, CO 80906-3769
Phone (719) 527-9331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Effort Physical Therapy LLC CurrentSince Dec 1, 2019 Accepting new patients
Joint Effort Physical Therapy LLC CurrentSince Dec 1, 2019 Accepting new patients

Locations

202 E Cheyenne Mountain Blvd
Ste N
Colorado Springs, CO 80906
Phone (719) 527-9331

2835 Dublin Blvd
Colorado Springs, CO 80918
Phone (719) 533-1318

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1023654720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E CHEYENNE MOUNTAIN BLVD STE N",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063769",
            "telephone_number": "719-533-1318",
            "fax_number": "719-533-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E CHEYENNE MOUNTAIN BLVD STE N",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063769",
            "telephone_number": "719-533-1318",
            "fax_number": "719-533-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDELY",
        "first_name": "CARRISSA",
        "middle_name": "SHEA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL.0016718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000179216",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.