Organization Active NPI

Sagewood Physical Therapy

  • Specialist
  • Wheat Ridge, CO
National Provider Identifier
1801097316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3301 Issued in CO
Legal business name
SAGEWOOD PHYSICAL THERAPY
Practice address
3180 Harlan St
Wheat Ridge, CO 80214-8132
Phone
(720) 635-9868
Fax
(303) 235-2706
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer J Anderson, P.T.NPI 1376511220
Title
Director
Phone
(720) 635-9868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 3301 CO Primary

Addresses

Primary practice location

3180 Harlan St
Wheat Ridge, CO 80214-8132

Mailing address

3180 Harlan St
Wheat Ridge, CO 80214-8132
Phone (720) 635-9868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060222000088 CO Part B Supplier - Clinic/Group Practice 9032125505 Receives reassigned benefits from 1 practitioner
Practice locations: Wheat Ridge, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801097316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 HARLAN ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "802148132",
            "telephone_number": "720-635-9868",
            "fax_number": "303-235-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 HARLAN ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "802148132",
            "telephone_number": "720-635-9868",
            "fax_number": "303-235-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGEWOOD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "720-635-9868",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "3301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.