Patricia Vickland, MA, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2550 Issued in CO

Practice address

1330 Sunset St
Longmont, CO 80501-3218

Phone

(303) 776-0333

Fax

(303) 776-0107

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Stanford University School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Physical Therapy Center, Inc.

  • Specialist
  • Longmont, CO
  • NPI 1992876148

  CO

  Medicare reassignment NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1215087648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SUNSET ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013218",
            "telephone_number": "303-776-0333",
            "fax_number": "303-776-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SUNSET ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013218",
            "telephone_number": "303-776-0333",
            "fax_number": "303-776-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKLAND",
        "first_name": "PATRICIA",
        "credential": "MA, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR - WASHINGT",
            "identifier": "193624",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN#",
            "identifier": "4915543",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karlee Verhaagh
• Aimee Morris Verner, M.D.
• Veros Clinical Services LLC
• Georgia Verras, LPN
• Vibrant Sound Audiology, PLLC
• Alice Marie Vienneau, LCSW
• Mary E Vierthaler, MD
• Amanda M Vikdal, LMT
• Abigail Villanueva, LPC
• Alan Thomas Villavicencio, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.