Timothy Raymond Poppe, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8225 Issued in CO

Practice address

112 W Spencer Ave
Gunnison, CO 81230-2545

Phone

(970) 641-2266

Fax

(970) 641-0334

NPI assigned

Aug 12, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Crested Butte Physiotherapy PCGroup PAC ID 8426351933, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Crested Butte Physiotherapy, PC

  • Physical Therapy Clinic/Center
  • Crested Butte, CO
  • NPI 1760868319

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184636011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6979 S HOLLY CIR",
            "address_2": "STE 105",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121577",
            "telephone_number": "303-694-2295",
            "fax_number": "303-694-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W SPENCER AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302545",
            "telephone_number": "970-641-2266",
            "fax_number": "970-641-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPE",
        "first_name": "TIMOTHY",
        "middle_name": "RAYMOND",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Chris Peterson, MA
• Physiotherapy Associates Inc
• Pinnacle Insight LLC
• Janine K Pleau, ATC
• Wallace Pond, PHD
• Stephanie Lynn Porter, MD
• Nickolas Evangelos Poulos, D.O.
• Sarah Michelle Quinlivan
• Stacy Rae, L.AC.
• Valerie Ramos

• Physical Therapist in Gunnison, CO
• Providers in Gunnison, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.