Individual provider Active NPI

Judy Margaret Culbertson, P.T.

  • Physical Therapist
  • Highlands Ranch, CO
National Provider Identifier
1790794279
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2615 Issued in CO
Practice address
9330 S University Blvd
Ste 140
Highlands Ranch, CO 80126-5065
Phone
(303) 471-4506
Fax
(303) 471-4364
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 2615 CO Primary

Addresses

Primary practice location

9330 S University Blvd
Ste 140
Highlands Ranch, CO 80126-5065

Mailing address

6979 S Holly Cir
Ste 105
Centennial, CO 80112-1577
Phone (303) 694-2295

Other identifiers 1

IdentifierTypeStateIssuer
102255332OtherOWCP FACILITY ID

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

LicenseStateTypeSpecialty
2615COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Rehab, PLLC Physical Therapist PastSince Nov 13, 2022 Accepting new patients
Oncology Rehab Past Accepting new patients
Oncology Rehab PastSince Dec 27, 2009 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790794279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6979 S HOLLY CIR",
            "address_2": "STE 105",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121577",
            "telephone_number": "303-694-2295",
            "fax_number": "303-694-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 S UNIVERSITY BLVD",
            "address_2": "STE 140",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801265065",
            "telephone_number": "303-471-4506",
            "fax_number": "303-471-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBERTSON",
        "first_name": "JUDY",
        "middle_name": "MARGARET",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP FACILITY ID",
            "identifier": "102255332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.