Active NPI
Shelene M Thomas, D.P.T.
- Physical Therapist
- Thornton, CO
National Provider Identifier
1487788071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4979
- Practice address
- 12297 Pennsylvania St Unit 3
Thornton, CO 80241-3165 - Phone
- (303) 252-9400
- NPI assigned
- Mar 15, 2007
- 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 | 4979 | CO | Primary |
Addresses
Primary practice location
12297 Pennsylvania St Unit 3
Thornton, CO 80241-3165
Mailing address
5383 Bear CT
Frederick, CO 80504-3474
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4979 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487788071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5383 BEAR CT",
"city": "FREDERICK",
"state": "CO",
"postal_code": "805043474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12297 PENNSYLVANIA ST UNIT 3",
"city": "THORNTON",
"state": "CO",
"postal_code": "802413165",
"telephone_number": "303-252-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SHELENE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "4979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.