Carol Passarelli, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0015645 Issued in CO

Practice address

695 S Broadway St
Boulder, CO 80305

Phone

(303) 402-9283

NPI assigned

May 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Boulder Community Health

  • General Acute Care Hospital
  • Boulder, CO
  • NPI 1821074196
  Medicare reassignment Care Compare group NPD
• Ferrington Physical Therapy, LLC

  • Physical Therapist
  • Lafayette, CO
  • NPI 1124375779
  Medicare reassignment NPD
• Peak Form LLC

  • Physical Medicine & Rehabilitation Physician
  • Boulder, CO
  • NPI 1982718003

  Physical Therapist

  Medicare reassignment NPD
• Boulder Community Health

  • Multi-Specialty Clinic/Center
  • Boulder, CO
  • NPI 1609822030
  NPD
• Boulder Community Health

  • Primary Care Clinic/Center
  • Boulder, CO
  • NPI 1740837137
  NPD
• Peak Form LLC

  • Physical Medicine & Rehabilitation Physician
  • Greeley, CO
  • NPI 1851113385

  Physical Therapist

  NPD
• Uchealth Community Services

  • Physical Therapist
  • Englewood, CO
  • NPI 1841740693
  NPD

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1376034702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80305",
            "telephone_number": "303-402-9283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2695 Northpark Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800263177",
            "country_code": "US",
            "telephone_number": "303-926-1796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSARELLI",
        "first_name": "CAROL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT",
            "identifier": "PTL.0015645",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Stefan Pasic, M.D.
• Ian David Pasikov, M.A.
• Lauren Pass Erickson, MA, LPC
• Erin Pass, L.AC., DIPL. C.H.
• Paula Joy Passanisi IV
• Colleen Min Hee Passoth, LMSW
• Pat Guyton Pilates
• Joli Nicol Pate, LCSW
• Deepti Patel, MD
• Kaitlin Alexis Patel

• Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.