Individual provider Active NPI

Nikki Disalvio

  • Physical Therapist
  • Castle Rock, CO
National Provider Identifier
1144796426
Registry record updated Dec 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294900 Issued in CA
Practice address
823 S Perry St Ste 260
Castle Rock, CO 80104-1929
Phone
(720) 460-1412
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X
Physical Therapist 225100000X 294900 CA Primary

Addresses

Primary practice location

823 S Perry St Ste 260
Castle Rock, CO 80104-1929

Mailing address

823 S Perry St Ste 260
Castle Rock, CO 80104-1929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207002469 CO Practitioner - Physical Therapist in Private Practice 3173972767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurobalance Physical TherapyGroup PAC ID 0648593921, 3 clinicians

Practice addresses (Care Compare)

823 S Perry St
Suite 260
Castle Rock, CO 80104-1929
Phone (303) 807-5774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294900CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobalance Physical Therapy Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients

Locations

823 S Perry St
Ste 260
Castle Rock, CO 80104
Phone (303) 807-5774

99 Inverness Dr E
Ste 100
Englewood, CO 80112
Phone (303) 225-8120

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701475200000",
    "number": "1144796426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 S PERRY ST STE 260",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 S PERRY ST STE 260",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041929",
            "telephone_number": "720-460-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISALVIO",
        "first_name": "NIKKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2023; 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.

Verify at the official NPI Registry.