Active NPI
Craig D Depperschmidt, PT, DPT
- Physical Therapist
- Fort Collins, CO
National Provider Identifier
1801027750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10424
- Practice address
- 1024 Centre Ave Ste 100
Fort Collins, CO 80526-1887 - Phone
- (970) 224-4141
- Fax
- (970) 797-1227
- NPI assigned
- Jul 27, 2009
- Last updated
- Oct 20, 2023
- 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 Therapist | 225100000X | 10424 | CO | Primary |
Addresses
Primary practice location
1024 Centre Ave Ste 100
Fort Collins, CO 80526-1887
Mailing address
1024 Centre Ave Ste 100
Fort Collins, CO 80526-1887
Phone (970) 224-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1024 Centre Ave
Suite 100
Fort Collins, CO 80526-1887
Phone (970) 224-4141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Physical Therapy and Exercise Center, Inc | Physical Therapist | Current | Accepting new patients |
Locations
1024 Centre Ave
Ste 100
Fort Collins, CO 80526
Phone (970) 224-4141
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.
-
- Physical Therapist
- Fort Collins, CO
- NPI 1588846513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1801027750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 CENTRE AVE STE 100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261887",
"telephone_number": "970-224-4141",
"fax_number": "970-797-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 CENTRE AVE STE 100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261887",
"telephone_number": "970-224-4141",
"fax_number": "970-797-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPPERSCHMIDT",
"first_name": "CRAIG",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.