Active NPI
Ashley Waggoner, DPT
- Physical Therapist
- Louisville, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0017640
- Practice address
- 315 W South Boulder Rd # 100and
Louisville, CO 80027-1156 - Phone
- (303) 666-4151
- NPI assigned
- May 25, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0017640 | CO | Primary |
Addresses
Primary practice location
315 W South Boulder Rd # 100and
Louisville, CO 80027-1156
Mailing address
2910 Bluff St Apt 111
Boulder, CO 80301-1266
Phone (267) 474-5337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2955 Baseline Rd
Boulder, CO 80303-2356
3825 Iris Ave
Suite 300
Boulder, CO 80301-2070
Phone (303) 444-8707
3825 Iris Avenue
Suite 300
Boulder, CO 80301-2070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Coal Creek Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Alta Physical Therapy PC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Coal Creek Diagnostics, LLC | Past | Accepting new patients |
Locations
350 Broadway St
Ste 50
Boulder, CO 80305
Phone (303) 499-2879
2955 Baseline Rd
Boulder, CO 80303
Phone (303) 444-8707
3825 Iris Ave
Ste 300
Boulder, CO 80301
Phone (303) 449-7284
315 W South Boulder Rd
Ste 100
Louisville, CO 80027
Phone (303) 601-6666
Organizations & group practices 6
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.
-
- Specialist
- Boulder, CO
- NPI 1578675120
-
- Physical Therapist
- Louisville, CO
- NPI 1740238120
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Plastic Surgery Physician
- Denver, CO
- NPI 1962016352
-
- Diagnostic Ultrasound Physician
- Louisville, CO
- NPI 1366941171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1346815933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 BLUFF ST APT 111",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011266",
"telephone_number": "267-474-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W SOUTH BOULDER RD # 100AND",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271156",
"telephone_number": "303-666-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGGONER",
"first_name": "ASHLEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0017640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.