Eric Williston, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0012040 Issued in CO

Practice address

4110 Briargate Pkwy
Suite 300
Colorado Springs, CO 80920-7835

Phone

(719) 632-7669

Fax

(719) 867-7336

NPI assigned

Jun 1, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Springs Orthopaedic GroupGroup PAC ID 5395633747, 80 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.06 of 100Reported as group

Quality

70.6

Promoting interoperability

99

Improvement activities

40

Cost

73.76

Medicare enrollment (NPD)

Enrolled

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.

• Colorado Springs Orthopaedic Group

  • Specialist
  • Colorado Springs, CO
  • NPI 1972578359
  Medicare reassignment Care Compare group NPD
• Colorado Springs Orthopaedic Group

  dba Audubon Orthotic and Prosthetic Services

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1417957275
  NPD
• Edge Rehabilitation & Wellness LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1770852006
  NPD (past)
• Rea Rehabilitation Services Inc

  dba Edge Rehabilitation & Wellness

  • Rehabilitation Clinic/Center
  • Colorado Springs, CO
  • NPI 1386719052
  NPD (past)
• Advantage Physical Therapy Associates, LLC

  dba Advantage Physical Therapy

  • Physical Therapist
  • York, PA
  • NPI 1851404842
  NPD (past)

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1215163530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 BRIARGATE PKWY",
            "address_2": "STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207837",
            "telephone_number": "443-386-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BRIARGATE PKWY",
            "address_2": "SUITE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207835",
            "telephone_number": "719-632-7669",
            "fax_number": "719-867-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLISTON",
        "first_name": "ERIC",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judson Willis, LPC
• Luke William Willis, IDMT
• Mallory J Willis, DPT
• Schuyler Elizabeth Willis, MA, LPC
• Diane Cheryl Williston, DPT
• Bertram Willman, MD
• Willow and Courage Counseling, LLC
• Willow Creek Wellness LLC
• Willow Crest, Inc. (Crestview Manor, Inc.)
• Willow Crest, Inc. (Crestview Manor, Inc.)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.