Organization Active NPI

New Castle Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • New Castle, CO
National Provider Identifier
1184242554
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEW CASTLE PHYSICAL THERAPY, LLC
Practice address
6420 County Road 335 Unit B
New Castle, CO 81647-9691
Phone
(401) 213-9842
NPI assigned
Jul 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Nicholas Peterson, PT, DPTNPI 1619357696
Title
Physical Therapist, Owner
Phone
(423) 284-2399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6420 County Road 335 Unit B
New Castle, CO 81647-9691

Mailing address

501 Forest LN
Suite a
Clemson, SC 29631-2621
Phone (864) 722-0335

Other identifiers 1

IdentifierTypeStateIssuer
1619357696OtherINDIVIDUAL NPI NUMBER BEFORE I CREATED THIS BUSINESS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nick@newcastlephysicaltherapy.com

National Provider Directory

National Provider Directory

Locations

6420 County Road 335
Unit B
New Castle, CO 81647
Phone (401) 213-9842

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1184242554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FOREST LN",
            "address_2": "SUITE A",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312621",
            "telephone_number": "864-722-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 COUNTY ROAD 335 UNIT B",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479691",
            "telephone_number": "401-213-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CASTLE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-11",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "423-284-2399",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER BEFORE I CREATED THIS BUSINESS",
            "identifier": "1619357696",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nick@newcastlephysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "6420 County Road 335 Unit B",
            "city": "New Castle",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816479691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Castle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.