Mary C Witte-Niemeyer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6280 Issued in CO

Practice address

7362 McLaughlin Rd
Falcon, CO 80831-4713

Phone

(719) 358-3866

Fax

(719) 559-1800

NPI assigned

Dec 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary C Witte Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Physiotherapy, IncGroup PAC ID 7416229935, 5 clinicians

Quality Rehab SolutionsGroup PAC ID 6204057748, 6 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.

• Complete Physiotherapy, Inc

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1861928343

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Quality Rehab Solutions

  • Physical Therapist
  • Falcon, CO
  • NPI 1255746939
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1063757946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 ELBERT RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808319517",
            "telephone_number": "719-332-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 MCLAUGHLIN RD",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808314713",
            "telephone_number": "719-358-3866",
            "fax_number": "719-559-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE-NIEMEYER",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WITTE",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Pamela Vigil, DDS
• Wal-Mart Stores, Inc. (Vision Center 30-4335)
• Walgreen Co (Walgreens #09199)
• Walgreen Co. (Walgreens #9199)
• Walmart Inc. (Walmart Pharmacy 10-4335)
• Wayne Richard Woellhaf, DMD
• Kaitlin Alexandra Womeldorf, PA-C
• Woodmen Dental, Professional LLC
• Darin Russell Yantis, DPT

• Physical Therapist in Falcon, CO
• Providers in Falcon, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.