Organization Active NPI

Creed Family Physical Therapy Center

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1518481852
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CREED FAMILY PHYSICAL THERAPY CENTER
Practice address
13570 Northgate Estates Dr Ste 100
Colorado Springs, CO 80921-7655
Phone
(719) 465-2156
Fax
(719) 465-2095
NPI assigned
Jul 28, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sharae Carter, DPT
Title
Owner
Phone
(719) 465-2156

Specialties & licenses 1

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

Addresses

Primary practice location

13570 Northgate Estates Dr Ste 100
Colorado Springs, CO 80921-7655

Mailing address

13570 Northgate Estates Dr Ste 100
Colorado Springs, CO 80921-7655
Phone (719) 465-2156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171129002655 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981961984 Receives reassigned benefits from 2 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

13570 Northgate Estates Dr
Colorado Springs, CO 80921

13570 Northgate Estates Dr
Ste 100
Colorado Springs, CO 80921
Phone (719) 465-2156

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1518481852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13570 NORTHGATE ESTATES DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217655",
            "telephone_number": "719-465-2156",
            "fax_number": "719-465-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13570 NORTHGATE ESTATES DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217655",
            "telephone_number": "719-465-2156",
            "fax_number": "719-465-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREED FAMILY PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SHARAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-465-2156",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.