Evergreen Physical Therapy Specialists, PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

EVERGREEN PHYSICAL THERAPY SPECIALISTS, PC

Practice address

30940 Stagecoach Blvd
Suite E110
Evergreen, CO 80439

Phone

(303) 674-1594

NPI assigned

May 19, 2006

Last updated

Aug 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia McCord, PTNPI 1407813934

Title

Co-Owner

Phone

(303) 674-1594

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia A. McCord, PT, FAAOMPT

  • Physical Therapist
  • Evergreen, CO
  • NPI 1407813934
  Medicare reassignment NPD Authorized official
• Alexis Keeney, DPT

  • Physical Therapist
  • Evergreen, CO
  • NPI 1205460979
  Medicare reassignment NPD
• John Ruff May, PT, DPT

  • Physical Therapist
  • Evergreen, CO
  • NPI 1174785612
  Medicare reassignment NPD
• Jeannine Beebe Rauch, PT

  • Physical Therapist
  • Evergreen, CO
  • NPI 1124066196
  Medicare reassignment NPD
• Mary Kim Tadda

  • Physical Therapist
  • Evergreen, CO
  • NPI 1174157564
  Medicare reassignment NPD
• Amy Brand, MPT

  • Orthopedic Physical Therapist
  • Evergreen, CO
  • NPI 1760448112
  NPD (past)
• Stephen L Flowers, PT

  • Physical Therapist
  • Evergreen, CO
  • NPI 1508934522
  NPD (past)
• Molly Marie Plasha, DPT

  • Physical Therapist
  • Evergreen, CO
  • NPI 1740410471
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535241600000",
    "number": "1801849641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30940 STAGECOACH BLVD",
            "address_2": "SUITE E110",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397984",
            "telephone_number": "303-674-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30940 STAGECOACH BLVD",
            "address_2": "SUITE E110",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "80439",
            "telephone_number": "303-674-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PHYSICAL THERAPY SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2018-08-26",
        "status": "A",
        "authorized_official_last_name": "MCCORD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "303-674-1594",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Medical Acupuncture LLC
• Evergreen Operations, LLC (Life Care Center of Evergreen)
• Evergreen Oral and Maxillofacial Surgery
• Evergreen Pathways Counseling, LLC
• Evergreen Pediatrics, LLC (Evergreen Conifer Pediatrics)
• Evergreen Psychotherapy Center
• Evergreen Spine and Sports Medicine LLC
• Evergreen Therapeutic Massage LLC
• Evergreen Vision Clinic, PC
• Fabled Counseling

• Orthopedic Physical Therapist in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Orthopedic Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2018; 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.