Organization Active NPI

Summit Physio & Performance, LLC

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1033899281
Registry record updated Jul 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUMMIT PHYSIO & PERFORMANCE, LLC
Practice address
6150 Stadia CT
Colorado Springs, CO 80915-2657
Phone
(719) 642-8442
NPI assigned
Jul 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2023

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

Authorized official

Name
Dr. Tessa Kothe, PT, DPTNPI 1457969974
Title
Physical Therapist
Phone
(262) 224-9532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6150 Stadia CT
Colorado Springs, CO 80915-2657

Mailing address

4915 Dry Stone Dr
Colorado Springs, CO 80923-5165
Phone (262) 224-9532

National Provider Directory

National Provider Directory

Locations

6150 Stadia Ct
Colorado Springs, CO 80915
Phone (719) 419-8833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690070400000",
    "number": "1033899281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 DRY STONE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809235165",
            "telephone_number": "262-224-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 STADIA CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152657",
            "telephone_number": "719-642-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSIO & PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A",
        "authorized_official_last_name": "KOTHE",
        "authorized_official_first_name": "TESSA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "262-224-9532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.