Individual provider Active NPI

Robyn Thompson-Etzel, ATC, PTA

  • Athletic Trainer
  • Denver, CO
National Provider Identifier
1063601292
Registry record updated Mar 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
2000 S Colorado Blvd
Tower One #4500
Denver, CO 80222-7900
Phone
(720) 848-8254
Fax
(720) 848-8204
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

2000 S Colorado Blvd
Tower One #4500
Denver, CO 80222-7900

Mailing address

2000 S Colorado Blvd
Tower One #4500
Denver, CO 80222-7900
Phone (720) 848-8254

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331424000000",
    "number": "1063601292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S COLORADO BLVD",
            "address_2": "TOWER ONE #4500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227900",
            "telephone_number": "720-848-8254",
            "fax_number": "720-848-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S COLORADO BLVD",
            "address_2": "TOWER ONE #4500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227900",
            "telephone_number": "720-848-8254",
            "fax_number": "720-848-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-ETZEL",
        "first_name": "ROBYN",
        "credential": "ATC, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2012-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2012; 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.