Active NPI
Anthem Physical Therapy LLC
- Physical Therapy Clinic/Center
- Colorado Springs, CO
National Provider Identifier
1205474657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ANTHEM PHYSICAL THERAPY LLC
- Practice address
- 1826 E Platte Ave Ste 114
Colorado Springs, CO 80909-5738 - Phone
- (719) 645-5052
- Fax
- (720) 419-3297
- NPI assigned
- Dec 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Seubert, PT, DPT, CERT. DN
- Title
- Owner/Physical Therapist
- Phone
- (719) 645-5052
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1826 E Platte Ave Ste 114
Colorado Springs, CO 80909-5738
Mailing address
10083 Manhattan Dr
Colorado Springs, CO 80924-7040
Phone (719) 645-5052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000180490 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6475 Wall St
Ste 140
Colorado Springs, CO 80918
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": "1576540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696118400000",
"number": "1205474657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10083 MANHATTAN DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809247040",
"telephone_number": "719-645-5052",
"fax_number": "720-419-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 E PLATTE AVE STE 114",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095738",
"telephone_number": "719-645-5052",
"fax_number": "720-419-3297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHEM PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-17",
"last_updated": "2023-10-01",
"certification_date": "2023-10-01",
"status": "A",
"authorized_official_last_name": "SEUBERT",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "719-645-5052",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT, CERT. DN"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000180490",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.