Michelle Marie Phillips, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3204 Issued in CO

Practice address

1521 E Costilla Ave
Centennial, CO 80122-1381

Phone

(303) 795-2833

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mickie Phillips Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rodrigo D. Rodriguez

  • Multi-Specialty Clinic/Center
  • Aurora, CO
  • NPI 1740648187
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376696948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E COSTILLA AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221381",
            "telephone_number": "303-795-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 E COSTILLA AVE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221381",
            "telephone_number": "303-795-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "3204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICKIE",
            "last_name": "PHILLIPS",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William A Pfeifer, DDS
• Christina Pham, DDS
• Binh Phan, PTA
• Brittni Phillips, M.S CCC-SLP
• Cristina Phillips
• Shannon Phillips
• Physical Medicine of the Rockies LLC
• Physical Therapy Specialists, P.C.
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.