NPIMap

Organization Active NPI

Fort Collins Therapy Services LLC

  • Speech-Language Pathologist
  • Loveland, CO
National Provider Identifier
1043210693
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FORT COLLINS THERAPY SERVICES LLC
Practice address
3780 N Garfield Ave Ste 102
Loveland, CO 80538-2237
Phone
(970) 663-3222
Fax
(970) 663-3227
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Ms. Mary L Nel, MS,CCC/SLPNPI 1639159429
Title
Speech Language Pathologist
Phone
(970) 663-3222

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3780 N Garfield Ave Ste 102
Loveland, CO 80538-2237

Mailing address

3780 N Garfield Ave Ste 102
Loveland, CO 80538-2237
Phone (970) 663-3222

Other identifiers 1

IdentifierTypeStateIssuer
53828321MedicaidCO

Other names 1

  • ABG Therapy & Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

126 W Harvard St
Ste 6
Fort Collins, CO 80525
Phone (970) 224-5937

1260 Doctors Ln
Ste B
Fort Collins, CO 80524
Phone (970) 224-5937

3780 N Garfield Ave
Ste 102
Loveland, CO 80538
Phone (480) 621-0522

Practitioners & affiliated clinicians

Practitioners 11

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": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1043210693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 N GARFIELD AVE STE 102",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382237",
            "telephone_number": "970-663-3222",
            "fax_number": "970-663-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 N GARFIELD AVE STE 102",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382237",
            "telephone_number": "970-663-3222",
            "fax_number": "970-663-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COLLINS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "NEL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "970-663-3222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53828321",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABG Therapy & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABG Therapy & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.