Active NPI
Sagewood Physical Therapy
- Specialist
- Wheat Ridge, CO
National Provider Identifier
1801097316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3301
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer J Anderson, P.T.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Wheat Ridge, CO
- NPI 1376511220
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.