Co Physio, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CO PHYSIO, PLLC

Practice address

6385 Corporate Dr Ste 200
Colorado Springs, CO 80919-5912

Phone

(719) 266-3924

NPI assigned

Mar 13, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Charles O'Neal, PT

Title

Owner and Ceo

Phone

(904) 735-8100

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1730880345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 JET WING DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809162212",
            "telephone_number": "904-735-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 CORPORATE DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809195912",
            "telephone_number": "719-266-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO PHYSIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-12",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "904-735-8100",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PTEverywhere.com",
            "affiliation": "N",
            "endpointDescription": "EMR Documentation System",
            "address_1": "6385 Corporate Dr Ste 200",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809195912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.