Individual provider Active NPI

Nichole Lei Boy Swanson, PT, ATC

  • Physical Therapist
  • Chino Valley, AZ
National Provider Identifier
1265414981
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7255 Issued in CO
Practice address
1596 Susan a Williams Way
Suite D
Chino Valley, AZ 86323-6172
Phone
(928) 636-7950
Fax
(928) 636-7951
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6301 AZ
Physical Therapist 225100000X 7255 CO Primary

Addresses

Primary practice location

1596 Susan a Williams Way
Suite D
Chino Valley, AZ 86323-6172

Mailing address

1295 Westhaven Dr
Vail, CO 81657-4395
Phone (970) 476-7510

Other identifiers 1

IdentifierTypeStateIssuer
939267MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121004000385 CO Practitioner - Physical Therapist in Private Practice 4880689496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denver Physical Therapy, P.C.Group PAC ID 2961316500, 61 clinicians

Practice addresses (Care Compare)

2260 S Xanadu Way
Suite 245
Aurora, CO 80014-6558
Phone (303) 755-8826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7255COMDPhysical Therapist
6301AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Physical Therapy, P.C. Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Denver Physical Therapy, P.C. Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Denver Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Peak Performance Physical Therapy Past Accepting new patients
David V Curtis Past Accepting new patients
Denver Physical Therapy, P.C. Past Accepting new patients
Lone Tree Physical Therapy LLC Physical Therapist PastSince Nov 22, 2004 Accepting new patients

Locations

2260 S Xanadu Way
Ste 245
Aurora, CO 80014
Phone (303) 755-8826

24300 E Smoky Hill Rd
Unit 126
Aurora, CO 80016
Phone (303) 680-1772

6840 S University Blvd
Ste 400
Centennial, CO 80122
Phone (303) 771-5120

6840 S University Blvd
Centennial, CO 80122

8580 E Lowry Blvd
Ste 1
Denver, CO 80230
Phone (303) 547-9310

2700 S Broadway
Ste B
Englewood, CO 80113
Phone (720) 269-4348

5801 S Quebec St
Ste 100
Greenwood Village, CO 80111
Phone (303) 694-9193

6660 Timberline Rd
Ste 110
Highlands Ranch, CO 80130
Phone (303) 683-4500

330 S Vance St
Lakewood, CO 80226
Phone (303) 274-2404

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1265414981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 WESTHAVEN DR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816574395",
            "telephone_number": "970-476-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1596 SUSAN A WILLIAMS WAY",
            "address_2": "SUITE D",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863236172",
            "telephone_number": "928-636-7950",
            "fax_number": "928-636-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOY SWANSON",
        "first_name": "NICHOLE",
        "middle_name": "LEI",
        "name_prefix": "Dr.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6301",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "939267",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.