Individual provider Active NPI

Joellen S Greenwood, PT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1669208328
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0004606 Issued in CO
Practice address
2290 Leyden St
Denver, CO 80207-3939
Phone
(720) 270-2492
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 0004606 CO Primary

Addresses

Primary practice location

2290 Leyden St
Denver, CO 80207-3939

Mailing address

2290 Leyden St
Denver, CO 80207-3939
Phone (720) 270-2492

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240921000381 CO Practitioner - Physical Therapist in Private Practice 9931640638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Rehab ColoradoGroup PAC ID 1759822265, 12 clinicians

Practice addresses (Care Compare)

2020 N Academy Blvd
Suite 261
Colorado Springs, CO 80909-1567
Phone (908) 670-7573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0004606COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Rehab LLC Physical Therapist CurrentSince Sep 10, 2024 Accepting new patients
Prestige Rehab Colorado Physical Therapist CurrentSince Sep 25, 2024 Accepting new patients

Locations

2020 N Academy Blvd
Ste 261
Colorado Springs, CO 80909
Phone (719) 232-5591

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1669208328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 LEYDEN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802073939",
            "telephone_number": "720-270-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 LEYDEN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802073939",
            "telephone_number": "720-270-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "JOELLEN",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0004606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.