Individual provider Active NPI

Michael Emmons House, PT, DSC, OCS

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1386722213
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7254 Issued in CO
Practice address
600 N Grant St Ste 208
Denver, CO 80203-3527
Phone
(303) 832-5577
NPI assigned
Nov 1, 2006
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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 7254 CO Primary

Addresses

Primary practice location

600 N Grant St Ste 208
Denver, CO 80203-3527

Mailing address

600 N Grant St Ste 208
Denver, CO 80203-3527
Phone (303) 832-5577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060411000325 CO Practitioner - Physical Therapist in Private Practice 1052329554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 N Grant St
Suite 208
Denver, CO 80203-3527
Phone (303) 832-5577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7254COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Motion Physical Therapy PC Physical Therapist CurrentSince Jul 21, 2014 Accepting new patients
Back to Motion Physical Therapy PC Physical Therapist CurrentSince Jul 21, 2014 Accepting new patients
Back to Motion Physical Therapy PC Past Accepting new patients

Locations

600 N Grant St
Ste 208
Denver, CO 80203
Phone (303) 832-5577

616 N Washington St
Ste 100
Denver, CO 80203
Phone (303) 832-5577

7821 W 38th Ave
Ste 101
Wheat Ridge, CO 80033
Phone (303) 330-0010

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1386722213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GRANT ST STE 208",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033527",
            "telephone_number": "303-832-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GRANT ST STE 208",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033527",
            "telephone_number": "303-832-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "MICHAEL",
        "middle_name": "EMMONS",
        "name_prefix": "Dr.",
        "credential": "PT, DSC, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-11-11",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.