Individual provider Active NPI

Michelle Horstmeyer, PT

  • Pediatric Physical Therapist
  • Windsor, CO
National Provider Identifier
1467753160
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
7785 Issued in CO
Practice address
7404 Thistledown Dr
Windsor, CO 80550-8429
Phone
(970) 215-2070
Fax
(970) 797-9106
NPI assigned
Nov 11, 2010
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7785 CO
Pediatric Physical Therapist 2251P0200X 7785 CO Primary

Addresses

Primary practice location

7404 Thistledown Dr
Windsor, CO 80550-8429

Mailing address

7404 Thistledown Dr
Windsor, CO 80550-8429
Phone (970) 215-2070

Other identifiers 1

IdentifierTypeStateIssuer
73488551MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141124001407 CO Practitioner - Physical Therapist in Private Practice 9335461607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7785COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Covell Care and Rehabilitation, LLC Physical Therapist CurrentSince Oct 3, 2014 Accepting new patients

Locations

2350 Limon Dr
Unit D12
Fort Collins, CO 80525
Phone (970) 204-4331

Organizations & group practices 1

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": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1467753160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 THISTLEDOWN DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805508429",
            "telephone_number": "970-215-2070",
            "fax_number": "970-797-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 THISTLEDOWN DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805508429",
            "telephone_number": "970-215-2070",
            "fax_number": "970-797-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSTMEYER",
        "first_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7785",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CO",
            "license": "7785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73488551",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.