Individual provider Active NPI

Marissa Veach

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1821854316
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2633 Issued in ND
Practice address
1330 Quail Lake Loop Ste 100
Colorado Springs, CO 80906-4651
Phone
(719) 579-0230
NPI assigned
Feb 22, 2024
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP054865T CO
Physical Therapist 225100000X 2633 ND Primary
Physical Therapist 225100000X CP063100T NV

Addresses

Primary practice location

1330 Quail Lake Loop Ste 100
Colorado Springs, CO 80906-4651

Mailing address

1330 Quail Lake Loop Ste 100
Colorado Springs, CO 80906-4651

Other practice location 1

8675 W Rome Blvd Ste 140
Las Vegas, NV 89149-1291
Phone (725) 206-7929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241217002913 WA Practitioner - Physical Therapist in Private Practice 5890222756 Reassigns benefits to 1 organization
I20260417000230 CO Practitioner - Physical Therapist in Private Practice 5890222756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Hudson Group IncGroup PAC ID 7214061282, 4 clinicians

Practice addresses (Care Compare)

722 S 8TH St
Canon City, CO 81212-4906
Phone (719) 345-4097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2633NDMDPhysical Therapist
PT61593901WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor Community Hospital CurrentSince Oct 12, 2024 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Grays Harbor Community Hospital CurrentSince Oct 12, 2024 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

Organizations & group practices 6

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": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1821854316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 QUAIL LAKE LOOP STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 QUAIL LAKE LOOP STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064651",
            "telephone_number": "719-579-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8675 W Rome Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891491291",
            "country_code": "US",
            "telephone_number": "725-206-7929",
            "fax_number": "725-206-7930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEACH",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP054865T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2633",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "CP063100T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.