Active NPI
Angie T Nguyen, P.T,
- Physical Therapist
- Thornton, CO
National Provider Identifier
1356567960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8733
- Practice address
- 9195 Grant St
Suite 100
Thornton, CO 80229-4386 - Phone
- (303) 451-7700
- Fax
- (303) 252-9474
- NPI assigned
- Apr 18, 2007
- 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 | 8733 | CO | Primary |
Addresses
Primary practice location
9195 Grant St
Suite 100
Thornton, CO 80229-4386
Mailing address
12211W Alameda Pkwy 104
Lakewood, CO 80228-2825
Phone (720) 519-1548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066615 | Other | CO | MEDICARE GROUP PTAN |
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 |
|---|---|---|---|
| 8733 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundant Wellness LLC | Current | Accepting new patients | |
| Boulder County Primary Care and Rehab | Past | Accepting new patients | |
| Bender Chiropractic, L.L.C. | Past | Accepting new patients | |
| Kansas Fitness Physio, PA | Physical Therapist | Past | Accepting new patients |
Locations
2500 Youngfield St
Ste 5
Lakewood, CO 80215
Phone (720) 316-3303
Interoperability endpoints
- angie.nguyen.1@29676.direct.athenahealth.com
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.
-
- Physical Therapy Clinic/Center
- Lakewood, CO
- NPI 1881480333
-
- Orthopedic Chiropractor
- Littleton, CO
- NPI 1720260284
-
- Specialist
- Broomfield, CO
- NPI 1306383039
-
- Physical Therapist
- Leavenworth, KS
- NPI 1497854822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1356567960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12211W ALAMEDA PKWY 104",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282825",
"telephone_number": "720-519-1548",
"fax_number": "720-519-1698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9195 GRANT ST",
"address_2": "SUITE 100",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294386",
"telephone_number": "303-451-7700",
"fax_number": "303-252-9474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANGIE",
"middle_name": "T",
"credential": "P.T,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "8733",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "066615",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.