Active NPI
Edward Correia Jr., P.T.
- Physical Therapist
- Denver, CO
National Provider Identifier
1710913041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8583
- Practice address
- 6900 E 47TH Avenue Dr
Ste. 150
Denver, CO 80216-3463 - Phone
- (303) 388-7719
- Fax
- (303) 388-8072
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- 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 | 8583 | CO | Primary |
Addresses
Primary practice location
6900 E 47TH Avenue Dr
Ste. 150
Denver, CO 80216-3463
Mailing address
6900 E 47TH Avenue Dr
Ste. 150
Denver, CO 80216-3463
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8583 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710913041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 E 47TH AVENUE DR",
"address_2": "STE. 150",
"city": "DENVER",
"state": "CO",
"postal_code": "802163463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 E 47TH AVENUE DR",
"address_2": "STE. 150",
"city": "DENVER",
"state": "CO",
"postal_code": "802163463",
"telephone_number": "303-388-7719",
"fax_number": "303-388-8072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREIA",
"first_name": "EDWARD",
"name_suffix": "Jr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "8583",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.