Individual provider Active NPI

Cameron W Macdonald, P.T D.P.T

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1396957767
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7716 Issued in CO
Practice address
9480 Briar Village PT
Suite #201
Colorado Springs, CO 80920-7922
Phone
(719) 266-1788
Fax
(719) 264-7706
NPI assigned
May 5, 2007
Last updated
Apr 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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 7716 CO Primary

Addresses

Primary practice location

9480 Briar Village PT
Suite #201
Colorado Springs, CO 80920-7922

Mailing address

9480 Briar Village PT
Suite #201
Colorado Springs, CO 80920-7922
Phone (719) 266-1788

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
7716COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Regis University Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Centura Ventures, LLC Past Accepting new patients
Total Healthcare Past Accepting new patients

Locations

3333 Regis Blvd
#G4
Denver, CO 80221
Phone (303) 458-4986

3333 Regis Blvd
Ste Ldc
Denver, CO 80221
Phone (303) 870-3214

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": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1396957767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 BRIAR VILLAGE PT",
            "address_2": "SUITE #201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207922",
            "telephone_number": "719-266-1788",
            "fax_number": "719-264-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 BRIAR VILLAGE PT",
            "address_2": "SUITE #201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207922",
            "telephone_number": "719-266-1788",
            "fax_number": "719-264-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "CAMERON",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "P.T D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-05",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 7, 2014; 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.