Individual provider Active NPI

Vanessa Cameron Valle

  • Orthopedic Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1659041192
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTL.0019801 Issued in CO
Practice address
4935 N 30TH St Ste 100
Colorado Springs, CO 80919-3109
Phone
(719) 266-1710
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTL.0019801 CO Primary

Addresses

Primary practice location

4935 N 30TH St Ste 100
Colorado Springs, CO 80919-3109

Mailing address

5823 Walsh PT Apt 306
Colorado Springs, CO 80919-1786
Phone (650) 477-9552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250227000606 CO Practitioner - Physical Therapist in Private Practice 0648790196 Reassigns benefits to 3 organizations
I20251027000030 DC Practitioner - Physical Therapist in Private Practice 0648790196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Springs Orthopaedic GroupGroup PAC ID 5395633747, 80 clinicians

Practice addresses (Care Compare)

4110 Briargate Pkwy
Suite 300
Colorado Springs, CO 80920-7837
Phone (719) 632-7669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0019801COMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 24, 2025 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Colorado Springs Orthopaedic Group CurrentSince Jan 3, 2025 Accepting new patients
Colorado Springs Orthopaedic Group CurrentSince Jan 3, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 24, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

1259 Lake Plaza Dr
Ste 100
Colorado Springs, CO 80906
Phone (719) 867-7335

4110 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 867-7329

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

Organizations & group practices 7

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1659041192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 WALSH PT APT 306",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191786",
            "telephone_number": "650-477-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 N 30TH ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193109",
            "telephone_number": "719-266-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "VANESSA",
        "middle_name": "CAMERON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL.0019801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.

Verify at the official NPI Registry.