NPIMap

Organization Active NPI

Metropolitan Physical Therapy

  • Physical Therapy Clinic/Center
  • Erie, CO
National Provider Identifier
1265049183
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
METROPOLITAN PHYSICAL THERAPY
Practice address
685 Briggs St
Erie, CO 80516-5022
Phone
(303) 665-2405
Fax
(303) 648-6602
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Vincent Paul Carmellini, PT, DPT, OCS, MTCNPI 1609820174
Title
Owner/Therapist
Phone
(303) 665-2405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

685 Briggs St
Erie, CO 80516-5022

Mailing address

25 Cody St
Lakewood, CO 80226-1240
Phone (303) 665-2405

Other practice location 1

1010 Carbon Ct Unit F
Erie, CO 80516-8403
Phone (303) 665-2405

Other identifiers 1

IdentifierTypeStateIssuer
9000165352MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan Physical Therapy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1265049183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CODY ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261240",
            "telephone_number": "303-665-2405",
            "fax_number": "303-648-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 BRIGGS ST",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805165022",
            "telephone_number": "303-665-2405",
            "fax_number": "303-648-6602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Carbon Ct Unit F",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "CO",
            "postal_code": "805168403",
            "country_code": "US",
            "telephone_number": "303-665-2405",
            "fax_number": "303-648-6602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METROPOLITAN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "CARMELLINI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "303-665-2405",
        "authorized_official_credential": "PT, DPT, OCS, MTC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000165352",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.