Active NPI
Maureen Johnson, DPT
- Physical Therapist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17910
- Practice address
- 3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630 - Phone
- (719) 265-6601
- NPI assigned
- Aug 26, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305205231 | VA | |
| Physical Therapist | 225100000X | 17910 | CO | Primary |
Addresses
Primary practice location
3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630
Mailing address
3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630
Phone (719) 265-6601
Other practice location 1
1635 N George Mason Dr
Suite 110
Arlington, VA 22205-3601
Phone (703) 810-5216
Other names 1
- Maureen Kendrick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630
Phone (719) 265-6601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17910 | CO | MD | Physical Therapist |
| 2305205231 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panorama Orthopedics & Spine Center, PC | Current | Accepting new patients | |
| Panorama Orthopedics & Spine Center, PC | Current | Accepting new patients | |
| Panorama Orthopedics and Spine Center PC | Current | Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients | |
| Town of Iron River | Past | Accepting new patients |
Locations
3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 265-6601
660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Golden, CO
- NPI 1295787950
-
- Family Medicine Physician
- Chantilly, VA
- NPI 1215264916
-
- Physical Therapy Clinic/Center
- Colorado Springs, CO
- NPI 1194390518
-
- Physical Therapy Clinic/Center
- Littleton, CO
- NPI 1750092201
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
-
- Land Ambulance
- Iron River, WI
- NPI 1831248475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1386950475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 AUSTIN BLUFFS PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186630",
"telephone_number": "719-265-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 AUSTIN BLUFFS PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186630",
"telephone_number": "719-265-6601"
}
],
"practiceLocations": [
{
"address_1": "1635 N George Mason Dr",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222053601",
"country_code": "US",
"telephone_number": "703-810-5216",
"fax_number": "703-810-5405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MAUREEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2022-04-20",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205231",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "17910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAUREEN",
"last_name": "KENDRICK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.