Active NPI
Candice Bunting, PT, DPT
- Physical Therapist
- Denver, CO
National Provider Identifier
1598228652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0016303
- Practice address
- 4430 Federal Blvd
Denver, CO 80211-1418 - Phone
- (815) 713-7866
- NPI assigned
- Apr 7, 2019
- 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 | 0016303 | CO | Primary |
Addresses
Primary practice location
4430 Federal Blvd
Denver, CO 80211-1418
Mailing address
4430 Federal Blvd
Denver, CO 80211-1418
Phone (815) 713-7866
Other practice location 1
8540 Scarborough Dr Ste 200
Colorado Springs, CO 80920-7513
Phone (719) 630-7500
Other names 1
- Candice Bunting
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11825 W 64TH Ave
Arvada, CO 80004-4307
Phone (720) 550-6585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0016303 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Physical Therapist | Current | Accepting new patients |
| Wsi | Past | Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 3
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.
-
- Physical Therapist
- Denver, CO
- NPI 1164620084
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Nursing Care Agency
- Colorado Springs, CO
- NPI 1023317385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554595200000",
"number": "1598228652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4430 FEDERAL BLVD",
"city": "DENVER",
"state": "CO",
"postal_code": "802111418",
"telephone_number": "815-713-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 FEDERAL BLVD",
"city": "DENVER",
"state": "CO",
"postal_code": "802111418",
"telephone_number": "815-713-7866"
}
],
"practiceLocations": [
{
"address_1": "8540 Scarborough Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809207513",
"country_code": "US",
"telephone_number": "719-630-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNTING",
"first_name": "CANDICE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-07",
"last_updated": "2019-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0016303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDICE",
"last_name": "BUNTING",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.