Active NPI
Margaret E Reidy, M.D.
- Physical Medicine & Rehabilitation Physician
- Broomfield, CO
National Provider Identifier
1346263688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- DR.0066404
- Practice address
- 11820 Destination Dr
Broomfield, CO 80021-2518 - Phone
- (303) 464-4940
- Fax
- (303) 460-6193
- NPI assigned
- Jul 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD037498E | PA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | DR.0066404 | CO | Primary |
Addresses
Primary practice location
11820 Destination Dr
Broomfield, CO 80021-2518
Mailing address
11820 Destination Dr
Broomfield, CO 80021-2518
Phone (303) 464-4940
Other practice location 1
9365 McKnight Rd
Suite 300
Pittsburgh, PA 15237-5956
Phone (412) 366-8377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011910500015 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0066404 | CO | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine & Rehabilitation Experts | Physical Medicine & Rehabilitation | 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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Pittsburgh, PA
- NPI 1578580924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1346263688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11820 DESTINATION DR",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800212518",
"telephone_number": "303-464-4940",
"fax_number": "303-460-6193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11820 DESTINATION DR",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800212518",
"telephone_number": "303-464-4940",
"fax_number": "303-460-6193"
}
],
"practiceLocations": [
{
"address_1": "9365 McKnight Rd",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152375956",
"country_code": "US",
"telephone_number": "412-366-8377",
"fax_number": "412-630-9761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REIDY",
"first_name": "MARGARET",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD037498E",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "DR.0066404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011910500015",
"state": "PA"
}
],
"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 May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.