Organization Active NPI

Pro Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Boulder, CO
National Provider Identifier
1306067830
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PRO PHYSICAL THERAPY, PC
Practice address
4800 Baseline Rd
Suite D 107
Boulder, CO 80303-2699
Phone
(303) 499-6818
Fax
(303) 499-0853
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Barbara Ann Tschoepe, PT, PHD
Title
President
Phone
(303) 499-6818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X CO Primary

Addresses

Primary practice location

4800 Baseline Rd
Suite D 107
Boulder, CO 80303-2699

Mailing address

4800 Baseline Rd
Suite D 107
Boulder, CO 80303-2699
Phone (303) 499-6818

Other identifiers 2

IdentifierTypeStateIssuer
96226838MedicaidCO
C810645OtherCOMEDICARE PIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1306067830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BASELINE RD",
            "address_2": "SUITE D 107",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032699",
            "telephone_number": "303-499-6818",
            "fax_number": "303-499-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BASELINE RD",
            "address_2": "SUITE D 107",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032699",
            "telephone_number": "303-499-6818",
            "fax_number": "303-499-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "TSCHOEPE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-499-6818",
        "authorized_official_credential": "PT, PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96226838",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "C810645",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.