Individual provider Active NPI

Stephanie Huang

  • Physical Therapist
  • Louisville, CO
National Provider Identifier
1801526496
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018430 Issued in CO
Practice address
315 W South Boulder Rd Ste 100
Louisville, CO 80027-1157
Phone
(303) 666-4151
NPI assigned
Jun 15, 2022
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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 PTL.0018430 CO Primary

Addresses

Primary practice location

315 W South Boulder Rd Ste 100
Louisville, CO 80027-1157

Mailing address

1129 W 85TH Ave
Denver, CO 80260-4759
Phone (831) 325-8414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220726002414 CO Practitioner - Physical Therapist in Private Practice 8820470628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coal Creek Physical Therapy, LLCGroup PAC ID 9133014160, 13 clinicians

Practice addresses (Care Compare)

315 W S Boulder Rd
Suite 100
Louisville, CO 80027-1157
Phone (303) 666-4151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coal Creek Physical Therapy, LLC Physical Therapist CurrentSince Jul 11, 2022 Accepting new patients
Coal Creek Diagnostics, LLC PastSince Jun 21, 2022 Accepting new patients

Locations

315 W South Boulder Rd
Ste 100
Louisville, CO 80027
Phone (303) 666-4151

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1801526496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 W 85TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802604759",
            "telephone_number": "831-325-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W SOUTH BOULDER RD STE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271157",
            "telephone_number": "303-666-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.

Verify at the official NPI Registry.