Philip A Plante, P.T.
Individual provider Active NPI Physical Therapist · Colorado Springs, CO
NPI 1689652240 · NPPES record last updated Feb 17, 2015
Key facts
- NPI
- 1689652240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT3655 (CO)
- Practice address
- 104 Pro Rodeo Dr
Suite 110
Colorado Springs, CO 80919-2334 - Phone
- (719) 630-3193
- Fax
- (719) 630-3195
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Action Potential RLLP
Practice addresses (Care Compare)
1612 E Pikes Peak Ave
Colorado Springs, CO 80909-5619
Phone (719) 630-3193
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110222001002 | CO | Practitioner - Physical Therapist in Private Practice | 9234166539 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3655 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Action Potential RLLP | Physical Therapist | Current |
Accepting new patients |
| Action Potential RLLP | Physical Therapist | Current | Accepting new patients |
| Action Potential RLLP | Physical Therapist | Current |
Accepting new patients |
| Action Potential RLLP | Physical Therapist | Past | Accepting new patients |
Locations
4328 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 475-0808
2233 Academy Pl
Ste 50
Colorado Springs, CO 80909
Phone (719) 475-0808
1612 E Pikes Peak Ave
Colorado Springs, CO 80909
Phone (719) 475-8080
1604 E Pikes Peak Ave
Colorado Springs, CO 80909
Phone (719) 630-3193
4105 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 473-3332
328 Main St
Colorado Springs, CO 80911
Phone (719) 392-7777
104 Pro Rodeo Dr
Ste 110
Colorado Springs, CO 80919
Phone (719) 592-1788
2955 Professional Pl
Ste 200
Colorado Springs, CO 80904
Phone (719) 227-7079
2435 Research Pkwy
Ste 255
Colorado Springs, CO 80920
Phone (719) 260-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3655 | CO | Yes |
Addresses
Primary practice location
104 Pro Rodeo Dr
Suite 110
Colorado Springs, CO 80919-2334
Mailing address
2233 Academy PL
Suite 50
Colorado Springs, CO 80909-1696
Phone (719) 475-0808
Other providers in Colorado Springs, CO
- Thomas John Plamondon
- Planet T Hormone Replacement Center
- Plankeel Counseling, LLC
- Jeffrey Donald Plankeel
- Alexa Plante
- Obed Essau Plascencia
- Jeffery Clair Platt
- Trenton Jeffery Platt
- Constant Victor Platz
- Simone Plauche
All providers in Colorado Springs, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.