Active NPI
Stuart Citrin, PT
- Physical Therapist
- Evergreen, CO
National Provider Identifier
1083850036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1579
- Practice address
- 30670 Sun Creek Dr
Evergreen, CO 80439-2419 - Phone
- (303) 674-9446
- NPI assigned
- Dec 22, 2008
- Last updated
- Dec 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1579 | CO | Primary |
Addresses
Primary practice location
30670 Sun Creek Dr
Evergreen, CO 80439-2419
Mailing address
30670 Sun Creek Dr
Evergreen, CO 80439-2419
Phone (303) 674-9446
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1579 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229904000000",
"number": "1083850036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30670 SUN CREEK DR",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804392419",
"telephone_number": "303-674-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30670 SUN CREEK DR",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "804392419",
"telephone_number": "303-674-9446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CITRIN",
"first_name": "STUART",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-22",
"last_updated": "2008-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "1579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evergreen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.