Individual provider Active NPI

Vincent Paul Carmellini, PT, DPT, OCS, MTC

  • Orthopedic Physical Therapist
  • Lafayette, CO
National Provider Identifier
1609820174
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
9061 Issued in CO
Practice address
489 N US Highway 287 Ste 190
Lafayette, CO 80026-8905
Phone
(303) 665-2405
Fax
(306) 648-6602
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 9061 CO
Sports Physical Therapist 2251S0007X 9061 CO
Orthopedic Physical Therapist 2251X0800X 9061 CO Primary
Geriatric Physical Therapist 2251G0304X 9061 CO
Hand Physical Therapist 2251H1200X 9061 CO

Addresses

Primary practice location

489 N US Highway 287 Ste 190
Lafayette, CO 80026-8905

Mailing address

25 Cody St
Lakewood, CO 80226-1240
Phone (303) 665-2405

Other practice location 1

685 Briggs St
Erie, CO 80516-5022
Phone (303) 665-2405

Other identifiers 2

IdentifierTypeStateIssuer
9061OtherCOPHYSICAL THERAPIST
23770074MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060421000160 CO Practitioner - Physical Therapist in Private Practice 4587674486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

489 N US Hwy 287
Suite 190
Lafayette, CO 80026-8905
Phone (303) 665-2405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9061COMDOrthopedic Physical Therapist
022399NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Physical Therapy CurrentSince Feb 21, 2021 Accepting new patients
Mountain States Hand and Physical Therapy, Inc. Geriatrics CurrentSince Apr 8, 2014 Accepting new patients
Metropolitan Physical Therapy Geriatrics CurrentSince Aug 1, 2014 Accepting new patients
Metropolitan Physical Therapy Geriatrics Past Accepting new patients
CPTN Prime PastSince Nov 28, 2021 Accepting new patients
William S. Bremiller PastSince Nov 22, 2004 Accepting new patients
Manual Therapy Associates, Inc Geriatrics Past Accepting new patients
Millbrook Physical Therapy PC Past Accepting new patients
Metropolitan Physical Therapy Geriatrics PastSince Oct 8, 2023 Accepting new patients

Locations

1010 Carbon Ct
Unit F
Erie, CO 80516
Phone (303) 665-2405

489 N US Highway 287
Ste 190
Lafayette, CO 80026
Phone (303) 518-0194

400 S McCaslin Blvd
Ste 208
Superior, CO 80027
Phone (303) 422-1755

4045 Wadsworth Blvd
Ste 210
Wheat Ridge, CO 80033
Phone (303) 467-3490

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1609820174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CODY ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261240",
            "telephone_number": "303-665-2405",
            "fax_number": "303-648-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 N US HIGHWAY 287 STE 190",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268905",
            "telephone_number": "303-665-2405",
            "fax_number": "306-648-6602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "685 Briggs St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "CO",
            "postal_code": "805165022",
            "country_code": "US",
            "telephone_number": "303-665-2405",
            "fax_number": "303-648-6602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMELLINI",
        "first_name": "VINCENT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS, MTC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CO",
            "license": "9061",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "9061",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "9061",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CO",
            "license": "9061",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "CO",
            "license": "9061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "9061",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23770074",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.

Verify at the official NPI Registry.