Active NPI
Eric Poissant
- Physical Therapist
- Denver, CO
National Provider Identifier
1104296789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0013546
- Practice address
- 4700 East Hale Parkway
#550
Denver, CO 80220 - Phone
- (303) 370-2663
- NPI assigned
- Sep 25, 2015
- 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 | PTL.0013546 | CO | Primary |
Addresses
Primary practice location
4700 East Hale Parkway
#550
Denver, CO 80220
Mailing address
150 W 9TH Ave
#4404
Denver, CO 80204-4032
Phone (315) 941-0921
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1104296789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 W 9TH AVE",
"address_2": "#4404",
"city": "DENVER",
"state": "CO",
"postal_code": "802044032",
"telephone_number": "315-941-0921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 EAST HALE PARKWAY",
"address_2": "#550",
"city": "DENVER",
"state": "CO",
"postal_code": "80220",
"telephone_number": "303-370-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POISSANT",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-25",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0013546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.