Individual provider Active NPI

Nicole Marie Streleck, DPT

  • Physical Therapist
  • Greeley, CO
National Provider Identifier
1164088399
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0016107 Issued in CO
Practice address
6801 W 20TH St Unit 203
Greeley, CO 80634-9640
Phone
(970) 339-5319
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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 PTL.0016107 CO Primary

Addresses

Primary practice location

6801 W 20TH St Unit 203
Greeley, CO 80634-9640

Mailing address

1391 Waterwood Dr
Windsor, CO 80550-5940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624000199 CO Practitioner - Physical Therapist in Private Practice 9931433190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Physical Therapy, IncGroup PAC ID 6901947647, 22 clinicians

Practice addresses (Care Compare)

2121 E Harmony Rd
Suite 310
Fort Collins, CO 80528-9503
Phone (970) 672-8875

6200 W 9TH St
Unit 5
Greeley, CO 80634-4462
Phone (970) 301-4596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0016107COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Point Sports Medicine & Rehabilitation Inc. Physical Therapist CurrentSince May 13, 2019 Accepting new patients
The Point Sports Medicine & Rehabilitation Inc. Physical Therapist PastSince Nov 1, 2020 Accepting new patients

Locations

6801 W 20th St
Unit 203
Greeley, CO 80634
Phone (970) 339-5319

4663 W 20th Street Rd
Greeley, CO 80634
Phone (970) 352-8762

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1164088399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 WATERWOOD DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST UNIT 203",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349640",
            "telephone_number": "970-339-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRELECK",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.