Individual provider Active NPI

Maeve Jane Humphreys, DPT

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1497484752
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018461 Issued in CO
Practice address
1390 S Potomac St Ste 114
Aurora, CO 80012-4529
Phone
(303) 745-6717
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

48 W Bayaud Ave
Denver, CO 80223-1822

500 Eldorado Blvd
BLDG 4
Broomfield, CO 80021-3408

PO Box
Suite 290609
Nashville, TN 37229

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
PTL.0018461COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraphysics Partners of Colorado Inc PastSince Jun 12, 2022 Accepting new patients
Theraphysics Partners of Colorado, Inc. PastSince Jun 12, 2022 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0018461 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

1390 S Potomac St Ste 114
Aurora, CO 80012-4529

Mailing address

11 Andrew Dr
Lawrenceville, NJ 08648-2043
Phone (609) 462-6772

Other practice location 1

1001 W Mineral Ave
Littleton, CO 80120-4507
Phone (303) 334-1100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2022.

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1497484752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ANDREW DR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482043",
            "telephone_number": "609-462-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST STE 114",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124529",
            "telephone_number": "303-745-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W Mineral Ave",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801204507",
            "country_code": "US",
            "telephone_number": "303-334-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "MAEVE",
        "middle_name": "JANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.