Active NPI
Susanne Claudia Ventzke, M.S.P.T.
- Physical Therapist
- Brighton, CO
National Provider Identifier
1629080890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8161
- Practice address
- 1850 E Egbert St
Suite 110
Brighton, CO 80601-2404 - Phone
- (303) 637-1039
- Fax
- (303) 637-1033
- NPI assigned
- Aug 13, 2006
- 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 | 8161 | CO | Primary |
Addresses
Primary practice location
1850 E Egbert St
Suite 110
Brighton, CO 80601-2404
Mailing address
1850 Egbert Street
Suite 110
Brighton, CO 80601
Phone (303) 637-1039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8161 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1629080890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 EGBERT STREET",
"address_2": "SUITE 110",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "80601",
"telephone_number": "303-637-1039",
"fax_number": "303-637-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 E EGBERT ST",
"address_2": "SUITE 110",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806012404",
"telephone_number": "303-637-1039",
"fax_number": "303-637-1033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTZKE",
"first_name": "SUSANNE",
"middle_name": "CLAUDIA",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "8161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.