Village Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1497 Issued in CO

Legal business name

VILLAGE PHYSICAL THERAPY, P.C.

Practice address

109 Latigo LN
Suite a
Canon City, CO 81212-8112

Phone

(719) 562-0328

Fax

(719) 575-0872

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Michele Childs, P.T.

Title

Owner-President

Phone

(719) 577-4104

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Village Physical Therapy, P.C.

  • Physical Therapist
  • Denver, CO
  • NPI 1083284194

  O20110224001001

  Same enrollment
• Village Physical Therapy, P.C.

  • Physical Therapist
  • Littleton, CO
  • NPI 1336719459

  O20110224001001

  Same enrollment
• Village Physical Therapy, P.C.

  • Physical Therapist
  • Denver, CO
  • NPI 1992465009

  O20110224001001

  Same enrollment
• Village Physical Therapy, PC

  • Physical Therapist
  • Castle Rock, CO
  • NPI 1225624893

  O20110224001001

  Same enrollment
• Village Physical Therapy, PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1710026992

  O20110224001001

  Same enrollment
• Village Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Castle Rock, CO
  • NPI 1720447964

  O20110224001001

  Same enrollment
• Village Physical Therapy, PC

  • Physical Therapist
  • Pueblo, CO
  • NPI 1992825202

  O20110224001001

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Ingwersen, P.T.

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1871538959
  NPD

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1790805000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E PIKES PEAK AVE",
            "address_2": "SUITE 320",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033637",
            "telephone_number": "719-577-4104",
            "fax_number": "719-575-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LATIGO LN",
            "address_2": "SUITE A",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128112",
            "telephone_number": "719-562-0328",
            "fax_number": "719-575-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "719-577-4104",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrel Lee Vaniwarden, CRNA
• Anja Vera, PT
• Misty Vernetti, RN
• Tawny Renee Ververs
• Victoria King
• Vincent T Yu MD PC
• Judith Fay Visnack, LPC
• Vituity-Colorado Anesthesia Services PC
• Stacy Volk, PTA
• W & W Construction LLC

• Physical Therapist in Canon City, CO
• Providers in Canon City, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.