Active NPI
Fredrick J Stoot, PT
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1356326433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4045
- Practice address
- 2955 Professional PL
Suite 200
Colorado Springs, CO 80904-8139 - Phone
- (719) 227-7079
- Fax
- (719) 227-7079
- NPI assigned
- Dec 12, 2005
- Sex
- Male
- 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 | PT4045 | CO | Primary |
Addresses
Primary practice location
2955 Professional PL
Suite 200
Colorado Springs, CO 80904-8139
Mailing address
2233 Academy Place
Ste 50
Colorado Springs, CO 80909
Phone (719) 475-0808
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4045 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1356326433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 ACADEMY PLACE",
"address_2": "STE 50",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80909",
"telephone_number": "719-475-0808",
"fax_number": "719-475-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 PROFESSIONAL PL",
"address_2": "SUITE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809048139",
"telephone_number": "719-227-7079",
"fax_number": "719-227-7079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOOT",
"first_name": "FREDRICK",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-12",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PT4045",
"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 Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.