NPIMap

Organization Active NPI

Institute of Physical Medicine & Sports Therapy Inc

  • Physical Therapist
  • Windsor, CO
National Provider Identifier
1639155708
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6452 Issued in CO
Legal business name
INSTITUTE OF PHYSICAL MEDICINE & SPORTS THERAPY INC
Practice address
1180 Main St Unit 8
Windsor, CO 80550-4753
Phone
(970) 674-8011
Fax
(970) 674-8051
NPI assigned
Dec 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Mr. Scott Alan Johnson, PTNPI 1619029337
Title
Owner
Phone
(970) 674-8011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 6452 CO Primary

Addresses

Primary practice location

1180 Main St Unit 8
Windsor, CO 80550-4753

Mailing address

1180 Main St Unit 8
Windsor, CO 80550-4753
Phone (970) 674-8011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050427001110 CO Part B Supplier - Clinic/Group Practice 6608815840 Receives reassigned benefits from 2 practitioners
Practice locations: Windsor, CO

National Provider Directory

National Provider Directory

Locations

1455 Main St
Ste 170
Windsor, CO 80550
Phone (970) 674-8011

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1639155708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 MAIN ST UNIT 8",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504753",
            "telephone_number": "970-674-8011",
            "fax_number": "970-674-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 MAIN ST UNIT 8",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504753",
            "telephone_number": "970-674-8011",
            "fax_number": "970-674-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF PHYSICAL MEDICINE & SPORTS THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-674-8011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.