Active NPI
Guy Love
- Physical Therapy Assistant
- Boulder, CO
National Provider Identifier
1730543596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA.0013808
- Practice address
- 1055 Adams Cir
Boulder, CO 80303-1820 - Phone
- (303) 444-3967
- NPI assigned
- Apr 7, 2016
- 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 Therapy Assistant | 225200000X | PTA.0013808 | CO | Primary |
Addresses
Primary practice location
1055 Adams Cir
Boulder, CO 80303-1820
Mailing address
4489 Hamilton CT
Boulder, CO 80305-5556
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 |
|---|---|---|---|
| PTA.0013808 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471132800000",
"number": "1730543596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4489 HAMILTON CT",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 ADAMS CIR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031820",
"telephone_number": "303-444-3967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "GUY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-07",
"last_updated": "2016-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "PTA.0013808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.