Individual provider Active NPI

Angie T Nguyen, P.T,

  • Physical Therapist
  • Thornton, CO
National Provider Identifier
1356567960
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8733 Issued in CO
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

Updated by the provider on Aug 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
066615OtherCOMEDICARE 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

LicenseStateTypeSpecialty
8733COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Wellness LLC CurrentSince Apr 20, 2025 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 PastSince Aug 27, 2023 Accepting new patients

Locations

2500 Youngfield St
Ste 5
Lakewood, CO 80215
Phone (720) 316-3303

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.