Active NPI
Anne Leslie McCain Reintsema
- Physical Therapist
- Rollinsville, CO
National Provider Identifier
1174835987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2705
- Practice address
- 131 Willie'S LN
Rollinsville, CO 80474 - Phone
- (303) 258-3653
- NPI assigned
- Jul 9, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2705 | CO | Primary |
Addresses
Primary practice location
131 Willie'S LN
Rollinsville, CO 80474
Mailing address
PO Box 177
Rollinsville, CO 80474-0177
Phone (303) 258-3653
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 |
|---|---|---|---|
| 2705 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1174835987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 177",
"city": "ROLLINSVILLE",
"state": "CO",
"postal_code": "804740177",
"telephone_number": "303-258-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 WILLIE'S LN",
"city": "ROLLINSVILLE",
"state": "CO",
"postal_code": "80474",
"telephone_number": "303-258-3653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINTSEMA",
"first_name": "ANNE LESLIE",
"middle_name": "MCCAIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "2705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rollinsville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.