Michele F Cherry, PT
Individual provider Active NPI Physical Therapist · Centennial, CO
NPI 1063473007 · NPPES record last updated Sep 7, 2011
Key facts
- NPI
- 1063473007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4527 (CO)
- Practice address
- 7340 S Alton Way
Ste 11-D
Centennial, CO 80112-2335 - Phone
- (720) 493-1181
- Fax
- (720) 493-1191
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220110002170 | NY | Practitioner - Physical Therapist in Private Practice | 6406847821 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4527 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sport and Spine Physical Therapy, Inc. | Past | Accepting new patients | |
| Foothills Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4527 | CO | Yes |
Addresses
Primary practice location
7340 S Alton Way
Ste 11-D
Centennial, CO 80112-2335
Mailing address
360 S Pierce St
Lakewood, CO 80226-3452
Phone (720) 530-6375
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94558230 | Medicaid | CO |
Other names
- Michele Forster
Other providers in Centennial, CO
- Barbara Chenault
- Mahlet Vienna Cheney
- Lisa A Chenoweth
- Jessica Chernila
- Cherry Creek Family Medicine
- Chestnut Oak Counseling, PLLC
- Leanne Marie Cheung
- Sarah Chew
- CHI National Home Care, LLC
- CHI National Home Care, LLC
All providers in Centennial, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.