Active NPI
Vikki L Bayliss, P.T.
- Physical Therapist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2003016640
- Practice address
- 1650 Cochrane Circle
Evans Army Community Hospital
Colorado Springs, CO 80913 - Phone
- (719) 526-7120
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0011928 | CO | |
| Physical Therapist | 225100000X | 2003016640 | MO | Primary |
Addresses
Primary practice location
1650 Cochrane Circle
Evans Army Community Hospital
Colorado Springs, CO 80913
Mailing address
1650 Cochrane Circle
Evans Army Community Hospital
Fort Carson, CO 80913
Other practice location 1
4925 N Nevada Ave
Colorado Springs, CO 80918-8600
Phone (719) 776-3780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130320000556 | CO | Practitioner - Physical Therapist in Private Practice | 1052381035 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4925 N Nevada Ave
Colorado Sports and Spine Centers
Colorado Springs, CO 80918-8600
Phone (719) 776-3780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0011928 | CO | MD | Physical Therapist |
| 2003016640 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centura Ventures, LLC | Current | Accepting new patients | |
| Centura Ventures, LLC | Physical Therapist | Current | Accepting new patients |
Locations
17230 Jackson Creek Pkwy
Ste 170
Monument, CO 80132
Phone (719) 571-7080
11960 Lioness Way
Ste 150
Parker, CO 80134
Phone (303) 269-2893
4112 Outlook Blvd
Ste 96
Pueblo, CO 81008
Phone (719) 562-6200
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 Therapy Clinic/Center
- Colorado Springs, CO
- NPI 1073882197
CO, Physical Therapist
-
- Physical Therapy Clinic/Center
- Frisco, CO
- NPI 1124854526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735603200000",
"number": "1720194095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIRCLE",
"address_2": "EVANS ARMY COMMUNITY HOSPITAL",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIRCLE",
"address_2": "EVANS ARMY COMMUNITY HOSPITAL",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-7120"
}
],
"practiceLocations": [
{
"address_1": "4925 N Nevada Ave",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809188600",
"country_code": "US",
"telephone_number": "719-776-3780",
"fax_number": "719-776-3781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAYLISS",
"first_name": "VIKKI",
"middle_name": "L",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2024-12-31",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0011928",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2003016640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 31, 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.