Active NPI
Nova Rupp
- Massage Therapist
- Colorado Springs, CO
National Provider Identifier
1699408849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0021206
- Practice address
- 502 E Pikes Peak Ave Ste 110
Colorado Springs, CO 80903-3697 - Phone
- (719) 473-2958
- NPI assigned
- Jul 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT.0021206 | CO | Primary |
Addresses
Primary practice location
502 E Pikes Peak Ave Ste 110
Colorado Springs, CO 80903-3697
Mailing address
197 Vista Dr
Westcliffe, CO 81252-8589
Phone (720) 366-6021
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Nova@totalfunctionpt.com |
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 |
|---|---|---|---|
| MT.0021206 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Function Physical Therapy, PC | Current | Accepting new patients | |
| Total Function Physical Therapy, PC | Past | Accepting new patients |
Locations
502 E Pikes Peak Ave
Ste 110
Colorado Springs, CO 80903
Phone (719) 473-2958
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.
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1902571490
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1568532711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1699408849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 VISTA DR",
"city": "WESTCLIFFE",
"state": "CO",
"postal_code": "812528589",
"telephone_number": "720-366-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 E PIKES PEAK AVE STE 110",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033697",
"telephone_number": "719-473-2958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPP",
"first_name": "NOVA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-06",
"last_updated": "2022-07-06",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0021206",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Nova@totalfunctionpt.com",
"affiliation": "N",
"address_1": "502 E Pikes Peak Ave Ste 110",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809033697",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.