Individual provider Active NPI

Tamara Sue Struessel, DPT (PHYSICAL THERAP

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1215040662
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4211 Issued in CO
Practice address
Physio Pro 3801 E. Florida Ave Ste 330
Denver, CO 80210
Phone
(303) 370-2670
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4211 CO Primary

Addresses

Primary practice location

Physio Pro 3801 E. Florida Ave Ste 330
Denver, CO 80210

Mailing address

Physio Pro 3801 E. Florida Ave Ste 330
Denver, CO 80210
Phone (303) 370-2670

Other identifiers 1

IdentifierTypeStateIssuer
4211OtherCOCOLORADO STATE PT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804001321 CO Practitioner - Physical Therapist in Private Practice 3870564669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physio Pro, IncGroup PAC ID 0941394753, 27 clinicians

Practice addresses (Care Compare)

3801 E Florida Ave
330 Evolution PT
Denver, CO 80210-2571
Phone (303) 370-2670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4211COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physio Pro, Inc. Physical Therapist CurrentSince Apr 2, 2018 Accepting new patients
Physio Pro, Inc. Physical Therapist Current Accepting new patients
Physio Pro, Inc. Physical Therapist CurrentSince Apr 2, 2018 Accepting new patients

Locations

3801 E Florida Ave
Ste 330
Denver, CO 80210
Phone (303) 370-2670

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1215040662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PHYSIO PRO 3801 E. FLORIDA AVE STE 330",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80210",
            "telephone_number": "303-370-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PHYSIO PRO 3801 E. FLORIDA AVE STE 330",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80210",
            "telephone_number": "303-370-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUESSEL",
        "first_name": "TAMARA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DPT (PHYSICAL THERAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE PT LICENSE",
            "identifier": "4211",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.