Nicole Anders-Prosen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0019125 Issued in CO

Practice address

4617 W 20TH St Unit a
Greeley, CO 80634-3207

Phone

(970) 352-9022

NPI assigned

May 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berkana Rehabilitation PLLCGroup PAC ID 5496912412, 8 clinicians

Integrative Physiotherapy LLCGroup PAC ID 5395934509, 4 clinicians

Practice addresses (Care Compare)

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.

• Berkana Rehabilitation, PLLC

  • Physical Therapy Clinic/Center
  • Fort Collins, CO
  • NPI 1497035059

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Integrative Physiotherapy LLC

  • Physical Therapist
  • Fort Collins, CO
  • NPI 1881924991
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1053003202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983824305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 W 20TH ST UNIT A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343207",
            "telephone_number": "970-352-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS-PROSEN",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Ambrose
• American Medical Response of Colorado Inc
• American Medical Response of Colorado Inc
• Brittany Leigh Anchondo
• Amber Anda
• Rodger D Anders, PA-C
• Bryce Andersen
• Trenton Michael Anderson-Johnston
• Catie Anderson
• Judith Raye Anderson, M.D.

• Physical Therapist in Greeley, CO
• Providers in Greeley, 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 27, 2026; 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.