Individual provider Active NPI

Chelsey Lynn Vasquez, P.T., D.P.T

  • Physical Therapist
  • Englewood, CO
National Provider Identifier
1073948048
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0012241 Issued in CO
Practice address
601 E Hampden Ave Ste 460
Englewood, CO 80113-2797
Phone
(720) 937-8676
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0012241 CO Primary

Addresses

Primary practice location

601 E Hampden Ave Ste 460
Englewood, CO 80113-2797

Mailing address

1907 W Girton Ave
Englewood, CO 80110-2012
Phone (720) 937-8676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140402002018 CO Practitioner - Physical Therapist in Private Practice 8123259264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mend PLLCGroup PAC ID 4284945791, 11 clinicians

Practice addresses (Care Compare)

2760 29TH St
Suite 1B
Boulder, CO 80301-1221
Phone (720) 772-6780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0012241COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mend PLLC Physical Therapist CurrentSince Mar 12, 2021 Accepting new patients

Locations

2760 29th St
Ste 1B
Boulder, CO 80301
Phone (720) 772-6780

489 N US Highway 287
Ste 202
Lafayette, CO 80026
Phone (720) 772-6780

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1073948048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 W GIRTON AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102012",
            "telephone_number": "720-937-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE STE 460",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132797",
            "telephone_number": "720-937-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "CHELSEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.