Active NPI
Vincent Paul Carmellini, PT, DPT, OCS, MTC
- Orthopedic Physical Therapist
- Lafayette, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 9061
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9061 | Other | CO | PHYSICAL THERAPIST |
| 23770074 | Medicaid | CO |
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, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9061 | CO | MD | Orthopedic Physical Therapist |
| 022399 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Physical Therapy | Current | Accepting new patients | |
| Mountain States Hand and Physical Therapy, Inc. | Geriatrics | Current | Accepting new patients |
| Metropolitan Physical Therapy | Geriatrics | Current | Accepting new patients |
| Metropolitan Physical Therapy | Geriatrics | Past | Accepting new patients |
| CPTN Prime | Past | Accepting new patients | |
| William S. Bremiller | Past | Accepting new patients | |
| Manual Therapy Associates, Inc | Geriatrics | Past | Accepting new patients |
| Millbrook Physical Therapy PC | Past | Accepting new patients | |
| Metropolitan Physical Therapy | Geriatrics | Past | 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.
-
- Physical Therapy Clinic/Center
- Lafayette, CO
- NPI 1174933980
Geriatrics
-
- Physical Therapist
- Wheat Ridge, CO
- NPI 1588622567
Geriatrics
-
- Physical Therapy Clinic/Center
- Erie, CO
- NPI 1265049183
-
- Physical Therapy Clinic/Center
- Erie, CO
- NPI 1275290454
-
- Specialist
- Millbrook, NY
- NPI 1962709428
-
- Physical Therapist
- Millbrook, NY
- NPI 1104976307
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
- Elizabeth Card
- Carepoint Inpatient Blue Sky Neurology PLLC
- Carepoint Neurosurgery PLLC
- Carepoint Outpatient Blue Sky Neurology PLLC
- Carepoint Outpatient Blue Sky Neurology PLLC
- Elise Carney
- Mallory Caron
- Kristin Jayne Carpenter, PT, DPT, OCS, FAAOMP
- Carrithers Chiropractic
- Joel Alan Carrithers, DC, ATC/LAT
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.