Organization Active NPI

Levy Physical Therapy, Inc

  • Specialist
  • Basalt, CO
National Provider Identifier
1205925575
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5873 Issued in CO
Legal business name
LEVY PHYSICAL THERAPY, INC
Practice address
711 E Valley Rd Unit 202B
Basalt, CO 81621-8370
Phone
(970) 927-3883
Fax
(970) 927-3907
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Heidi Levy
Title
Owner
Phone
(970) 927-3883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 5873 CO Primary

Addresses

Primary practice location

711 E Valley Rd Unit 202B
Basalt, CO 81621-8370

Mailing address

130 Ptarmigon CT
Basalt, CO 81621-8201
Phone (970) 927-3883

Other identifiers 1

IdentifierTypeStateIssuer
7041704OtherCOAETNA PIN #

National Provider Directory

National Provider Directory

Locations

711 E Valley Rd
Unit 202B
Basalt, CO 81621
Phone (970) 927-3883

711 E Valley Rd
Ste 2028
Basalt, CO 81621
Phone (970) 927-3883

Practitioners & affiliated clinicians

Practitioners 2

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1205925575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PTARMIGON CT",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218201",
            "telephone_number": "970-927-3883",
            "fax_number": "970-927-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E VALLEY RD UNIT 202B",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218370",
            "telephone_number": "970-927-3883",
            "fax_number": "970-927-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVY PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-927-3883"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "5873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN #",
            "identifier": "7041704",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.