Organization Active NPI

Village Physical Therapy, PC

  • Physical Therapist
  • Castle Rock, CO
National Provider Identifier
1225624893
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VILLAGE PHYSICAL THERAPY, PC
Practice address
823 S Perry St Ste 200&220
Castle Rock, CO 80104-1900
Phone
(720) 897-8395
NPI assigned
Dec 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Carmen Philpot
Title
Director Revenue Cycle
Phone
(678) 403-3568

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

823 S Perry St Ste 200&220
Castle Rock, CO 80104-1900

Mailing address

823 S Perry St Ste 200&220
Castle Rock, CO 80104-1900
Phone (720) 897-8395

Other names 1

  • PT Solutions of Colorado Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110224001001 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5496936379 Receives reassigned benefits from 7 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO; Pueblo, CO

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

823 S Perry St
Ste 200220
Castle Rock, CO 80104
Phone (720) 897-8395

Practitioners & affiliated clinicians

Practitioners 4

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": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1225624893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 S PERRY ST STE 200&220",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041900",
            "telephone_number": "720-897-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 S PERRY ST STE 200&220",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041900",
            "telephone_number": "720-897-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "PHILPOT",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "678-403-3568"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT Solutions of Colorado",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PT Solutions of Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.