Active NPI
Laurel Gremm, PT DPT
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1447686779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12171
- Practice address
- 5570 Powers Center PT
Colorado Springs, CO 80920-7100 - Phone
- (719) 266-6022
- NPI assigned
- Sep 18, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12171 | CO | Primary |
Addresses
Primary practice location
5570 Powers Center PT
Colorado Springs, CO 80920-7100
Mailing address
20212 Thunder Rd W
Colorado Springs, CO 80908-1158
Phone (402) 469-5113
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12171 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1447686779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20212 THUNDER RD W",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809081158",
"telephone_number": "402-469-5113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5570 POWERS CENTER PT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207100",
"telephone_number": "719-266-6022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREMM",
"first_name": "LAUREL",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "12171",
"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 9, 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.