Individual provider Active NPI

Rachelle Lynn Flansburg, PT, DPT, COQS, CFPS

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1477804201
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10506 Issued in CO
Practice address
6060 E Iliff Ave
Denver, CO 80222-5721
Phone
(303) 759-4221
Fax
(303) 756-6307
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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 10506 CO Primary

Addresses

Primary practice location

6060 E Iliff Ave
Denver, CO 80222-5721

Mailing address

6060 E Iliff Ave
Denver, CO 80222-5721
Phone (303) 759-4221

Other names 1

  • Rachelle Lynn Shoultz Former name

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
10506COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1477804201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 E ILIFF AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225721",
            "telephone_number": "303-759-4221",
            "fax_number": "303-756-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 E ILIFF AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225721",
            "telephone_number": "303-759-4221",
            "fax_number": "303-756-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANSBURG",
        "first_name": "RACHELLE",
        "middle_name": "LYNN",
        "credential": "PT, DPT, COQS, CFPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "SHOULTZ",
            "middle_name": "LYNN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.