Organization Active NPI

Pelvicare Physical Therapy

  • Physical Therapy Clinic/Center
  • Niwot, CO
National Provider Identifier
1508698549
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PELVICARE PHYSICAL THERAPY
Practice address
7960 Niwot Rd Unit C11
Niwot, CO 80503-7150
Phone
(617) 459-5298
NPI assigned
Aug 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Karine GulyamovaNPI 1447595004
Title
Physical Therapist
Phone
(617) 459-5298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7960 Niwot Rd Unit C11
Niwot, CO 80503-7150

Mailing address

1450 Judson Dr
Boulder, CO 80305-6933
Phone (617) 459-5298

National Provider Directory

National Provider Directory

Locations

7960 Niwot Rd
Unit C11
Niwot, CO 80503
Phone (617) 459-5298

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1508698549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 JUDSON DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056933",
            "telephone_number": "617-459-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 NIWOT RD UNIT C11",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805037150",
            "telephone_number": "617-459-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVICARE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-18",
        "status": "A",
        "authorized_official_last_name": "GULYAMOVA",
        "authorized_official_first_name": "KARINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "617-459-5298"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 19, 2024; 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.