Active NPI
Vicki J Mazzuca, MSPT
- Contractor
- Westminster, CO
National Provider Identifier
1295925196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 5586
- Practice address
- 12705 Kalamath CT
Westminster, CO 80234-1771 - Phone
- (303) 280-9793
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 5586 | CO | Primary |
Addresses
Primary practice location
12705 Kalamath CT
Westminster, CO 80234-1771
Mailing address
12705 Kalamath CT
Westminster, CO 80234-1771
Phone (303) 280-9793
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5586 | Other | CO | PHYSICAL THERAPIST |
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 |
|---|---|---|---|
| 5586 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1295925196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12705 KALAMATH CT",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802341771",
"telephone_number": "303-280-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12705 KALAMATH CT",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802341771",
"telephone_number": "303-280-9793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZUCA",
"first_name": "VICKI",
"middle_name": "J",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CO",
"license": "5586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "5586",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.