Individual provider Active NPI

Nolan Carol Wright, DPT

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1134532765
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0012711 Issued in CO
Practice address
1024 Centre Ave
BLDG E Suite 100
Fort Collins, CO 80526-1887
Phone
(970) 797-2431
Fax
(970) 797-2509
NPI assigned
Jun 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0012711 CO Primary

Addresses

Primary practice location

1024 Centre Ave
BLDG E Suite 100
Fort Collins, CO 80526-1887

Mailing address

1024 Centre Ave
BLDG E Suite 100
Fort Collins, CO 80526-1887
Phone (970) 797-2431

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

LicenseStateTypeSpecialty
0012711COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1134532765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 CENTRE AVE",
            "address_2": "BLDG E SUITE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261887",
            "telephone_number": "970-797-2431",
            "fax_number": "970-797-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 CENTRE AVE",
            "address_2": "BLDG E SUITE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261887",
            "telephone_number": "970-797-2431",
            "fax_number": "970-797-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "NOLAN",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0012711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.