Active NPI
Janice K Gifford, PT
- Physical Therapist
- Fruita, CO
National Provider Identifier
1043256332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 974
- Practice address
- 461 N Annabelle CT
Fruita, CO 81521-2096 - Phone
- (970) 261-1231
- NPI assigned
- Jun 22, 2006
- Last updated
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 974 | CO | Primary |
Addresses
Primary practice location
461 N Annabelle CT
Fruita, CO 81521-2096
Mailing address
461 N Annabelle CT
Fruita, CO 81521-2096
Phone (970) 261-1231
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 840999425 | Other | CO | TAX ID |
| P00200035 | Other | CO | MEDICARE RAILROAD |
| 840999425008 | Other | CO | RMHMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 974 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Valley Rehabilitation, PC | Past | Accepting new patients | |
| Cardiac Ultrasound, Inc | Past | Accepting new patients |
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.
-
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- Physical Therapy Clinic/Center
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- NPI 1053352898
-
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- Throop, PA
- NPI 1346202561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1043256332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 N ANNABELLE CT",
"city": "FRUITA",
"state": "CO",
"postal_code": "815212096",
"telephone_number": "970-261-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 N ANNABELLE CT",
"city": "FRUITA",
"state": "CO",
"postal_code": "815212096",
"telephone_number": "970-261-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "JANICE",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "840999425",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00200035",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RMHMO",
"identifier": "840999425008",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fruita, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.