Individual provider Active NPI

Madelyn Altman, PT, DPT

  • Physical Therapist
  • Niwot, CO
National Provider Identifier
1497146575
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0012317 Issued in CO
Practice address
6800 N 79TH St Ste 202
Niwot, CO 80503-8979
Phone
(720) 572-5236
NPI assigned
Feb 11, 2015
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 0012317 CO Primary

Addresses

Primary practice location

6800 N 79TH St Ste 202
Niwot, CO 80503-8979

Mailing address

6800 N 79TH St Ste 202
Niwot, CO 80503-8979
Phone (720) 572-5236

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
0012317COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Collective LLC Single Specialty CurrentSince Aug 6, 2023 Accepting new patients
Coal Creek Diagnostics, LLC Single Specialty PastSince Feb 9, 2015 Accepting new patients

Locations

6800 N 79th St
Ste 202
Niwot, CO 80503
Phone (303) 652-9222

Organizations & group practices 2

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": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1497146575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 N 79TH ST STE 202",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805038979",
            "telephone_number": "720-572-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N 79TH ST STE 202",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805038979",
            "telephone_number": "720-572-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "MADELYN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0012317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niwot, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.