Individual provider Active NPI

Vanessa Albrecht, PT

  • Physical Therapist
  • Green Mountain Falls, CO
National Provider Identifier
1265823702
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0005513 Issued in CO
Practice address
7265 Catamount St
Green Mountain Falls, CO 80819
Phone
(719) 331-1011
Fax
(719) 398-0794
NPI assigned
Feb 5, 2015
Last updated
Nov 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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 PTL.0005513 CO Primary

Addresses

Primary practice location

7265 Catamount St
Green Mountain Falls, CO 80819

Mailing address

PO Box 753
Green Mountain Falls, CO 80819-0753
Phone (719) 331-1011

Other names 1

  • Vanessa Swanson Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0005513COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy LLC Physical Therapist PastSince Sep 27, 2020 Accepting new patients

Organizations & group practices 1

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": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1265823702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 753",
            "city": "GREEN MOUNTAIN FALLS",
            "state": "CO",
            "postal_code": "808190753",
            "telephone_number": "719-331-1011",
            "fax_number": "719-398-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7265 CATAMOUNT ST",
            "city": "GREEN MOUNTAIN FALLS",
            "state": "CO",
            "postal_code": "80819",
            "telephone_number": "719-331-1011",
            "fax_number": "719-398-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRECHT",
        "first_name": "VANESSA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0005513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "SWANSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Mountain Falls, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.