Individual provider Active NPI

Carol Greenstreet, PT

  • Physical Therapist
  • Woodland Park, CO
National Provider Identifier
1265691000
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
RPT8781 Issued in CO
Practice address
41 N Highway 67
Woodland Park, CO 80863
Phone
(719) 686-0553
Fax
(719) 687-5374
NPI assigned
Jun 6, 2008
Last updated
Oct 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X RPT8781 CO Primary

Addresses

Primary practice location

41 N Highway 67
Woodland Park, CO 80863

Mailing address

41 N Highway 67
Woodland Park, CO 80863
Phone (719) 686-0553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190111002281 CO Practitioner - Physical Therapist in Private Practice 5698764033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centura Ventures, LLCGroup PAC ID 8628989043, 30 clinicians

Practice addresses (Care Compare)

41 N Hwy 67 C
Colorado Sports and Spine Centers
Woodland Park, CO 80863-5009
Phone (719) 686-0553

4112 Outlook Blvd
Pueblo, CO 81008-1667
Phone (719) 562-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RPT8781COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centura Ventures, LLC Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
Centura Ventures, LLC CurrentSince Jan 1, 2019 Accepting new patients
Northside Therapy Center Inc Past Accepting new patients

Locations

1263 Lake Plaza Dr
Ste 210B
Colorado Springs, CO 80906
Phone (719) 623-1050

3010 N Circle Dr
Ste 120
Colorado Springs, CO 80909
Phone (719) 264-1500

6011 E Woodmen Rd
Ste 100
Colorado Springs, CO 80923
Phone (719) 571-8100

11960 Lioness Way
Ste 150
Parker, CO 80134
Phone (303) 269-2893

4112 Outlook Blvd
Ste 96
Pueblo, CO 81008
Phone (719) 562-6200

7233 Church Ranch Blvd
Westminster, CO 80021
Phone (303) 925-4137

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

41 State Highway 67
Unit C
Woodland Park, CO 80863
Phone (719) 686-0553

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1265691000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N HIGHWAY 67",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "80863",
            "telephone_number": "719-686-0553",
            "fax_number": "719-687-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N HIGHWAY 67",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "80863",
            "telephone_number": "719-686-0553",
            "fax_number": "719-687-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSTREET",
        "first_name": "CAROL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "RPT8781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.