Organization Active NPI

Pearson Physiotherapy Specialists, LLC

  • Physical Therapist
  • Craig, CO
National Provider Identifier
1649597477
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEARSON PHYSIOTHERAPY SPECIALISTS, LLC
Practice address
440 Taylor St
Craig, CO 81625-2729
Phone
(970) 629-3656
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
John T Pearson Jr., PTNPI 1194828798
Title
Physical Therapist
Phone
(970) 629-3656

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 Primary

Addresses

Primary practice location

440 Taylor St
Craig, CO 81625-2729

Mailing address

440 Taylor St
Craig, CO 81625-2729
Phone (970) 629-3656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100716000383 CO Part B Supplier - Clinic/Group Practice 4880726447 Receives reassigned benefits from 1 practitioner
Practice locations: Craig, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1649597477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 TAYLOR ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252729",
            "telephone_number": "970-629-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 TAYLOR ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252729",
            "telephone_number": "970-629-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARSON PHYSIOTHERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "970-629-3656",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Craig, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.