Individual provider Active NPI

Donna S Tegethoff, P.T.

  • Physical Therapist
  • Thornton, CO
National Provider Identifier
1740290220
Registry record updated Nov 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3125 Issued in CO
Practice address
1160 E 130TH Ave
Unit B
Thornton, CO 80241-3933
Phone
(970) 213-3087
Fax
(303) 452-3087
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3125 CO Primary

Addresses

Primary practice location

1160 E 130TH Ave
Unit B
Thornton, CO 80241-3933

Mailing address

2032 Lowe St
Suite 100
Fort Collins, CO 80525-5741
Phone (970) 223-6339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000195 CO Practitioner - Physical Therapist in Private Practice 4981600269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and RehabilitationGroup PAC ID 0648167767, 7 clinicians

Practice addresses (Care Compare)

343 W Drake Rd
Suite 102
Fort Collins, CO 80526-2880
Phone (970) 204-9635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3125COMDClinical Psychologist
3125CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine & Rehabilitation Physical Therapist CurrentSince Aug 29, 2016 Accepting new patients

Locations

343 W Drake Rd
Ste 102
Fort Collins, CO 80526
Phone (970) 204-9635

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227830400000",
    "number": "1740290220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 LOWE ST",
            "address_2": "SUITE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255741",
            "telephone_number": "970-223-6339",
            "fax_number": "970-223-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 130TH AVE",
            "address_2": "UNIT B",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413933",
            "telephone_number": "970-213-3087",
            "fax_number": "303-452-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGETHOFF",
        "first_name": "DONNA",
        "middle_name": "S",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "3125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2008; 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.

Verify at the official NPI Registry.