Individual provider Active NPI

Patricia Milhomens Vilasboas, PT

  • Physical Therapist
  • Broomfield, CO
National Provider Identifier
1265903041
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20105 Issued in CO
Practice address
13606 Xavier LN Ste C
Broomfield, CO 80023-3604
Phone
(303) 404-9494
Fax
(303) 404-2252
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT0022166 CO
Physical Therapist 225100000X 20105 CO Primary

Addresses

Primary practice location

13606 Xavier LN Ste C
Broomfield, CO 80023-3604

Mailing address

13606 Xavier LN Ste C
Broomfield, CO 80023-3604
Phone (303) 404-9494

Other practice location 1

1330 S Potomac St Ste 100
Aurora, CO 80012-4527
Phone (303) 745-0803

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008001011 CO Practitioner - Physical Therapist in Private Practice 4486185907 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13606 Xavier LN
Suite C
Broomfield, CO 80023-3604
Phone (303) 404-2252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT0022166COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Panorama Orthopedics and Spine Center PC CurrentSince Sep 6, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 27, 2026 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 27, 2026 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 27, 2026 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Sep 6, 2024 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

13606 Xavier Ln
Ste C
Thornton, CO 80023
Phone (303) 404-2252

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

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": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1265903041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 XAVIER LN STE C",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233604",
            "telephone_number": "303-404-9494",
            "fax_number": "303-404-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13606 XAVIER LN STE C",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233604",
            "telephone_number": "303-404-9494",
            "fax_number": "303-404-2252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 S Potomac St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124527",
            "country_code": "US",
            "telephone_number": "303-745-0803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILHOMENS VILASBOAS",
        "first_name": "PATRICIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT0022166",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "20105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.