Individual provider Active NPI

Michael Scott Levy, P.T.

  • Physical Therapist
  • Basalt, CO
National Provider Identifier
1821262379
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5873 Issued in CO
Practice address
711 E Valley Rd
Suite 202B
Basalt, CO 81621-8370
Phone
(970) 927-3883
Fax
(970) 927-3907
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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 5873 CO Primary

Addresses

Primary practice location

711 E Valley Rd
Suite 202B
Basalt, CO 81621-8370

Mailing address

130 Ptarmigon CT
Basalt, CO 81621-8201
Phone (970) 927-2335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5873COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Valley Hospital District Past Accepting new patients
Levy Physical Therapy, Inc PastSince Jul 1, 2000 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1821262379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PTARMIGON CT",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218201",
            "telephone_number": "970-927-2335",
            "fax_number": "970-927-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E VALLEY RD",
            "address_2": "SUITE 202B",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218370",
            "telephone_number": "970-927-3883",
            "fax_number": "970-927-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "5873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.