Active NPI
Carlie Lorrayne Grandbouche, DPT
- Physical Therapist
- Highlands Ranch, CO
National Provider Identifier
1245688480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0014028
- Practice address
- 9330 S University Blvd
#140
Highlands Ranch, CO 80126-5065 - Phone
- (303) 471-4506
- NPI assigned
- May 27, 2016
- 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 | 0014028 | CO | Primary |
Addresses
Primary practice location
9330 S University Blvd
#140
Highlands Ranch, CO 80126-5065
Mailing address
9330 S University Blvd
#140
Highlands Ranch, CO 80126-5065
Phone (303) 471-4506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014028 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy of Denver LTD | Physical Therapist | Past | Accepting new patients |
| Theraphysics Partners of Colorado Inc | Past | Accepting new patients | |
| Theraphysics Partners of Colorado, Inc. | Past | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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 Clinic/Center
- Englewood, CO
- NPI 1265401897
Physical Therapist
-
- Physical Therapy Clinic/Center
- Aurora, CO
- NPI 1881663490
Physical Therapist
-
- Physical Therapy Clinic/Center
- Aurora, CO
- NPI 1194778365
-
- Physical Therapy Clinic/Center
- Broomfield, CO
- NPI 1457364069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1245688480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 S UNIVERSITY BLVD",
"address_2": "#140",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801265065",
"telephone_number": "303-471-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 S UNIVERSITY BLVD",
"address_2": "#140",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801265065",
"telephone_number": "303-471-4506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDBOUCHE",
"first_name": "CARLIE",
"middle_name": "LORRAYNE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-27",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0014028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.