Individual provider Active NPI

Micah J Menges, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1346528148
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0011847 Issued in CO
Practice address
602 Elkton Dr
Colorado Springs, CO 80907
Phone
(719) 559-0680
Fax
(719) 559-0681
NPI assigned
Jul 27, 2011
Last updated
Aug 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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 9395 AZ
Physical Therapist 225100000X PTL.0011847 CO Primary

Addresses

Primary practice location

602 Elkton Dr
Colorado Springs, CO 80907

Mailing address

602 Elkton Dr
Colorado Springs, CO 80907-3514
Phone (719) 559-0680

Other practice location 1

6160 Tutt Blvd
Ste 240
Colorado Springs, CO 80923-3500
Phone (719) 596-0880

Other practice location 2

6160 Tutt Blvd
Ste 240
Colorado Springs, CO 80923-3500
Phone (719) 596-0880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121019000240 CO Practitioner - Physical Therapist in Private Practice 6204003767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2446 Research Pkwy
Suite 200
Colorado Springs, CO 80920-1087
Phone (719) 623-1050

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9395AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 16, 2019 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 16, 2019 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Jan 6, 2021 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Jan 6, 2021 Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

1230 Tenderfoot Hill Rd
Ste 155
Colorado Springs, CO 80906
Phone (719) 527-3383

1263 Lake Plaza Dr
Ste 210
Colorado Springs, CO 80906
Phone (719) 623-1050

2430 Research Pkwy
Ste 100
Colorado Springs, CO 80920
Phone (719) 623-1050

2430 Research Pkwy
Ste 205
Colorado Springs, CO 80920
Phone (505) 322-6687

2446 Research Pkwy
Ste 200
Colorado Springs, CO 80920
Phone (719) 623-1050

3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 265-6601

602 Elkton Dr
Colorado Springs, CO 80907
Phone (719) 559-0680

6160 Tutt Blvd
Ste 240
Colorado Springs, CO 80923
Phone (719) 596-0880

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1346528148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 ELKTON DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073514",
            "telephone_number": "719-559-0680",
            "fax_number": "719-559-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 ELKTON DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "719-559-0680",
            "fax_number": "719-559-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6160 Tutt Blvd",
            "address_2": "STE 240",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809233500",
            "country_code": "US",
            "telephone_number": "719-596-0880",
            "fax_number": "719-596-0899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6160 Tutt Blvd",
            "address_2": "STE 240",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809233500",
            "country_code": "US",
            "telephone_number": "719-596-0880",
            "fax_number": "719-596-0899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENGES",
        "first_name": "MICAH",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9395",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0011847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.