Active NPI
Renee Compagna, LMT
- Mechanotherapist
- Durango, CO
National Provider Identifier
1114291903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 12480
- Practice address
- 202 W 22ND St
Durango, CO 81301-4618 - Phone
- (970) 259-0968
- NPI assigned
- Feb 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 12480 | CO | Primary |
Addresses
Primary practice location
202 W 22ND St
Durango, CO 81301-4618
Mailing address
533 E 6TH Ave
Durango, CO 81301-5619
Phone (603) 494-3808
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 |
|---|---|---|---|
| 12480 | CO | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Chiropractic, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Exclusive Provider Organization
- Durango, CO
- NPI 1114257177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1114291903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 E 6TH AVE",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015619",
"telephone_number": "603-494-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W 22ND ST",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014618",
"telephone_number": "970-259-0968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPAGNA",
"first_name": "RENEE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-27",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "CO",
"license": "12480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
- Columbine Chiropractic Health Center, PC (Antoinette Nowakowski, D.C., D.A.B.C.O.)
- Janiece T Commanche
- Community Connections Inc.
- Community Connections Inc.
- Community Connections Inc.
- Stephanie Noelle Connely, PA-C
- Russelyn William Connor, RN
- Richard L Converse Jr., MD
- W Donald Cooke, MD
- Sydney Lynn Cooley, L. AC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.