Active NPI
Patricia Vickland, MA, PT
- Physical Therapist
- Longmont, CO
National Provider Identifier
1215087648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2550
- Practice address
- 1330 Sunset St
Longmont, CO 80501-3218 - Phone
- (303) 776-0333
- Fax
- (303) 776-0107
- NPI assigned
- Jan 10, 2007
- Last updated
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2550 | CO | Primary |
Addresses
Primary practice location
1330 Sunset St
Longmont, CO 80501-3218
Mailing address
1330 Sunset St
Longmont, CO 80501-3218
Phone (303) 776-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- 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)
1330 Sunset St
Longmont, CO 80501-3218
Phone (303) 776-0333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Center, Inc. | Current | Accepting new patients |
Locations
1330 Sunset St
Longmont, CO 80501
Phone (303) 776-0333
1330 Sunset St
#P
Longmont, CO 80501
Organizations & group practices 1
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.
-
- Specialist
- Longmont, CO
- NPI 1992876148
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
- Karlee Verhaagh
- Aimee Morris Verner, M.D.
- Veros Clinical Services LLC (Allergy & Asthma, a Veros Health Company)
- Georgia Verras, LPN
- Vibrant Sound Audiology, PLLC (Vibrant Sound Audiology)
- Alice Marie Vienneau, LCSW
- Mary E Vierthaler, MD
- Amanda M Vikdal, LMT
- Abigail Villanueva, LPC
- Alan Thomas Villavicencio, MD
Sources for this page
- 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.