Active NPI
Rebecca Wolfe
- Physical Therapist
- Longmont, CO
National Provider Identifier
1184086241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13239
- Practice address
- 451 21St Ave Ste a
Longmont, CO 80501-1421 - Phone
- (303) 678-7170
- Fax
- (303) 678-7170
- NPI assigned
- Mar 27, 2016
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13239 | WI | Primary |
Addresses
Primary practice location
451 21St Ave Ste a
Longmont, CO 80501-1421
Mailing address
451 21St Ave Ste a
Longmont, CO 80501-1421
Phone (303) 678-7170
Other practice location 1
6800 N 76th St
Milwaukee, WI 53223-5002
Phone (414) 353-5000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13239 | WI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1184086241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 21ST AVE STE A",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805011421",
"telephone_number": "303-678-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 21ST AVE STE A",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805011421",
"telephone_number": "303-678-7170",
"fax_number": "303-678-7170"
}
],
"practiceLocations": [
{
"address_1": "6800 N 76th St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532235002",
"country_code": "US",
"telephone_number": "414-353-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLFE",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-27",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.