Active NPI
Douglas William Perkins, PT, DPT
- Physical Therapist
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11598
- Practice address
- 3000 Center Green Dr Ste 110
Boulder, CO 80301-2364 - Phone
- (303) 413-9903
- Fax
- (303) 413-9907
- NPI assigned
- Feb 13, 2012
- Last updated
- Feb 13, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11598 | CO | Primary |
| Physical Therapist | 225100000X | 004894 | IA |
Addresses
Primary practice location
3000 Center Green Dr Ste 110
Boulder, CO 80301-2364
Mailing address
3000 Center Green Dr Ste 110
Boulder, CO 80301-2364
Phone (303) 413-9903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15700 37TH Ave N
Suite 150
Plymouth, MN 55446-3675
Phone (651) 968-5201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11598 | CO | MD | Physical Therapist |
| 004894 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics, LTD. | Current | Accepting new patients | |
| Summit Orthopedics, LTD | Current | Accepting new patients | |
| Summit Orthopedics LTD | Current | Accepting new patients |
Locations
15700 37th Ave N
Ste 150
Plymouth, MN 55446
Phone (651) 968-1627
6050 Sycamore Ln N
Plymouth, MN 55442
Phone (651) 968-5462
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Orthopaedic Surgery Physician
- Eden Prairie, MN
- NPI 1417639626
-
dba Minnesota Occupational Health
- Occupational Medicine Clinic/Center
- Saint Paul, MN
- NPI 1275684128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329091200000",
"number": "1093088650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 CENTER GREEN DR STE 110",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012364",
"telephone_number": "303-413-9903",
"fax_number": "303-413-9907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 CENTER GREEN DR STE 110",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012364",
"telephone_number": "303-413-9903",
"fax_number": "303-413-9907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "DOUGLAS",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-13",
"last_updated": "2012-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "11598",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004894",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.