Active NPI
Todd S Chilson, PT
- Physical Therapist
- Pueblo, CO
National Provider Identifier
1053485706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL0015500
- Practice address
- 387 E Enterprise Dr Ste 160
Pueblo, CO 81007 - Phone
- (719) 924-8912
- Fax
- (719) 696-9115
- NPI assigned
- Nov 17, 2006
- Last updated
- Jun 8, 2018
- Sex
- Male
- 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 | PTL0015500 | CO | Primary |
Addresses
Primary practice location
387 E Enterprise Dr Ste 160
Pueblo, CO 81007
Mailing address
PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 683227000 | Medicaid | MN | |
| 7B725PA | Other | MN | BLUE CROSS |
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 |
|---|---|---|---|
| PTL0015500 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1053485706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5718",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599035718",
"telephone_number": "406-756-0134",
"fax_number": "406-309-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "387 E ENTERPRISE DR STE 160",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81007",
"telephone_number": "719-924-8912",
"fax_number": "719-696-9115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILSON",
"first_name": "TODD",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL0015500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "683227000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "7B725PA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
- Children's Hospital Colorado (Children's Colorado Regional Outreach Clinic - Pueblo - A&AA)
- Children's Hospital Colorado (Children's Colorado Regional Outreach Clinic - Pueblo - CS)
- Children's Hospital Colorado
- Frank Burton Childress, DDS
- Kriss L Childress, RDH
- Jason Chippeaux, LCSW
- Chiropractic Health Center PC
- Alberta Chittenden
- Kyla Lee Choate, LICENSED MASSAGE THE
- Mun J. Choi, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.