Individual provider Active NPI

Michele L Munsil, PT, DPT

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1649574872
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10114 Issued in CO
Practice address
3519 Richmond Drive
#C
Fort Collins, CO 80526-5994
Phone
(970) 493-8727
Fax
(970) 493-8739
NPI assigned
Jan 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10114 CO Primary

Addresses

Primary practice location

3519 Richmond Drive
#C
Fort Collins, CO 80526-5994

Mailing address

3519 Richmond Drive
#C
Fort Collins, CO 80526-5994
Phone (970) 493-8727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110303000946 CO Practitioner - Physical Therapist in Private Practice 6204018781 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10114COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy and Exercise Center, Inc Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients

Locations

1024 Centre Ave
Ste 100
Fort Collins, CO 80526
Phone (970) 224-4141

Organizations & group practices 2

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": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1649574872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 RICHMOND DRIVE",
            "address_2": "#C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265994",
            "telephone_number": "970-493-8727",
            "fax_number": "970-493-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 RICHMOND DRIVE",
            "address_2": "#C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265994",
            "telephone_number": "970-493-8727",
            "fax_number": "970-493-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSIL",
        "first_name": "MICHELE",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.