Organization Active NPI

Carol Thiele Physical Therapy

  • Physical Therapist
  • Broomfield, CO
National Provider Identifier
1114245586
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1914 Issued in CO
Legal business name
CAROL THIELE PHYSICAL THERAPY
Practice address
300 Summit Blvd
Broomfield, CO 80021-8247
Phone
(303) 729-2567
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Mrs. Carol Thiele, P.T.
Title
Physical Therapist
Phone
(303) 673-0778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1914 CO Primary

Addresses

Primary practice location

300 Summit Blvd
Broomfield, CO 80021-8247

Mailing address

516 Lincoln Ave
Louisville, CO 80027-1920
Phone (303) 673-0778

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1114245586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 LINCOLN AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271920",
            "telephone_number": "303-673-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SUMMIT BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218247",
            "telephone_number": "303-729-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL THIELE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "THIELE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "303-673-0778",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "1914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.