Individual provider Active NPI

Johna Iannitto, DPT

  • Orthopedic Physical Therapist
  • Commerce City, CO
National Provider Identifier
1316531007
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTL0017527 Issued in CO
Practice address
13659 E 104TH Ave Unit 300
Commerce City, CO 80022-9402
Phone
(720) 506-5340
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL0017527 CO
Orthopedic Physical Therapist 2251X0800X PTL0017527 CO Primary

Addresses

Primary practice location

13659 E 104TH Ave Unit 300
Commerce City, CO 80022-9402

Mailing address

13659 E 104TH Ave Unit 300
Commerce City, CO 80022-9402
Phone (720) 506-5340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210312000650 CO Practitioner - Physical Therapist in Private Practice 1355757501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians

Practice addresses (Care Compare)

181 W Meadow Dr
Vail Health Hospital
Vail, CO 81657-5242
Phone (970) 476-2451

Merit-based Incentive Payment System (MIPS)

Final score
75.38 of 100Reported as group
Quality
55.42
Promoting interoperability
96
Improvement activities
40
Cost
65.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL0017527COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Clinic Inc CurrentSince Nov 7, 2022 Accepting new patients
Vail Clinic, Inc. CurrentSince Nov 7, 2022 Accepting new patients
Vail Clinic, Inc. Current Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist PastSince Mar 4, 2021 Accepting new patients

Locations

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

320 Beard Creek Rd
Ste 1100
Edwards, CO 81632
Phone (970) 569-7638

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

Organizations & group practices 4

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": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1316531007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13659 E 104TH AVE UNIT 300",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229402",
            "telephone_number": "720-506-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13659 E 104TH AVE UNIT 300",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229402",
            "telephone_number": "720-506-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNITTO",
        "first_name": "JOHNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0017527",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL0017527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.