Organization Active NPI

Colorado Ctr for Physical Therapy

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1083732689
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2038 Issued in CO
Legal business name
COLORADO CTR FOR PHYSICAL THERAPY
Practice address
2329 W Main St
Ste 211
Littleton, CO 80120-8210
Phone
(303) 797-0988
Fax
(303) 797-8011
NPI assigned
Mar 26, 2007
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Mrs. Erma Pacheco, P.T.NPI 1619159936
Title
Ceo
Phone
(303) 797-0988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2038 CO Primary

Addresses

Primary practice location

2329 W Main St
Ste 211
Littleton, CO 80120-8210

Mailing address

2329 W Main St Ste 211
Littleton, CO 80120-8200
Phone (303) 797-0988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041130000245 CO Part B Supplier - Clinic/Group Practice 9830154004 Receives reassigned benefits from 9 practitioners
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

2329 W Main St
Ste 211
Littleton, CO 80120
Phone (303) 797-0988

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1083732689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 W MAIN ST STE 211",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208200",
            "telephone_number": "303-797-0988",
            "fax_number": "303-797-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 W MAIN ST",
            "address_2": "STE 211",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208210",
            "telephone_number": "303-797-0988",
            "fax_number": "303-797-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO CTR FOR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "ERMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-797-0988",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.