Active NPI
Vicky Lyn Pease, PT
- Physical Therapist
- Centennial, CO
National Provider Identifier
1659616720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10145
- Practice address
- 9000 E Nichols Ave Ste 201
Centennial, CO 80112-3406 - Phone
- (925) 209-1320
- NPI assigned
- Nov 30, 2012
- 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 | 10145 | CA | Primary |
Addresses
Primary practice location
9000 E Nichols Ave Ste 201
Centennial, CO 80112-3406
Mailing address
51 Linda CT
Pleasant Hill, CA 94523-2666
Phone (925) 287-9213
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10145 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1659616720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 LINDA CT",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232666",
"telephone_number": "925-287-9213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 E NICHOLS AVE STE 201",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123406",
"telephone_number": "925-209-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEASE",
"first_name": "VICKY",
"middle_name": "LYN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-30",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "10145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.