Active NPI
Courtney Fassett, LMT
- Specialist
- Denver, CO
National Provider Identifier
1275824708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11793
- Practice address
- 8101 E Lowry Blvd
Suite 220
Denver, CO 80230-7196 - Phone
- (303) 341-0369
- NPI assigned
- May 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11793 | CO | Primary |
Addresses
Primary practice location
8101 E Lowry Blvd
Suite 220
Denver, CO 80230-7196
Mailing address
8101 E Lowry Blvd
Suite 220
Denver, CO 80230-7196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11793 | Other | CO | STATE LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11793 | CO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Athletic Conditioning Clinic Lowry Professional LLC | Past | 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.
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1720973597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1275824708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 E LOWRY BLVD",
"address_2": "SUITE 220",
"city": "DENVER",
"state": "CO",
"postal_code": "802307196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 E LOWRY BLVD",
"address_2": "SUITE 220",
"city": "DENVER",
"state": "CO",
"postal_code": "802307196",
"telephone_number": "303-341-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASSETT",
"first_name": "COURTNEY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "11793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "11793",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.