Anchor Physical Therapy & Wellness, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ANCHOR PHYSICAL THERAPY & WELLNESS, PLLC

Practice address

1020 Nancy St
Fort Morgan, CO 80701-3726

Phone

(719) 580-4076

NPI assigned

Oct 1, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie Lee Micklich, PT, DPTNPI 1417304155

Title

Physical Therapist

Phone

(719) 580-4076

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Micklich, PT, DPT

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1417304155
  NPD Authorized official

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1477150597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 NANCY ST",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013726",
            "telephone_number": "719-580-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 NANCY ST",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013726",
            "telephone_number": "719-580-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR PHYSICAL THERAPY & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "MICKLICH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "719-580-4076",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Fort Morgan, CO
• Providers in Fort Morgan, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.