Individual provider Active NPI

Cameron Preston

  • Physical Therapist
  • Edwards, CO
National Provider Identifier
1679364616
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1140 Edwards Village Blvd # II
Edwards, CO 81632-5525
Phone
(970) 569-3240
NPI assigned
May 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 Primary

Addresses

Primary practice location

1140 Edwards Village Blvd # II
Edwards, CO 81632-5525

Mailing address

25738 Summergreen LN
Golden, CO 80401-9659
Phone (720) 454-5250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605000237 CO Practitioner - Physical Therapist in Private Practice 6709395270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vail-Summit Orthopaedics PCGroup PAC ID 4688564461, 32 clinicians

Practice addresses (Care Compare)

360 Peak One Dr
Suite 190
Frisco, CO 80443-5868
Phone (970) 668-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vail-Summit Orthopaedics PC CurrentSince Jun 9, 2025 Accepting new patients
Vail-Summit Orthopaedics PC CurrentSince Jun 9, 2025 Accepting new patients
Vail-Summit Orthopaedics PC Current Accepting new patients
Vail-Summit Orthopaedics PC PastSince May 18, 2025 Accepting new patients

Locations

360 Peak One Dr
Ste 180
Frisco, CO 80443
Phone (970) 368-5945

360 Peak One Dr
Ste 190
Frisco, CO 80443
Phone (970) 668-0888

360 Peak One Dr
#180
Frisco, CO 80443
Phone (970) 668-3633

2472 Patterson Rd
Unit 8
Grand Junction, CO 81505

Organizations & group practices 4

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": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1679364616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25738 SUMMERGREEN LN",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019659",
            "telephone_number": "720-454-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EDWARDS VILLAGE BLVD # II",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816325525",
            "telephone_number": "970-569-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.