Organization Active NPI

Centura Ventures, LLC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1831823152
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CENTURA VENTURES, LLC
Practice address
6071 E Woodmen Rd Ste 220
Colorado Springs, CO 80923-2611
Phone
(719) 776-3000
Fax
(719) 571-8889
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Mr. Debra Carpenter, RN
Title
VP, Ambulatory
Phone
(303) 765-6998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6071 E Woodmen Rd Ste 220
Colorado Springs, CO 80923-2611

Mailing address

PO Box 801172
Kansas City, MO 64180-1172
Phone (800) 953-0104

Other names 3

  • CS PT NORTH CARE Doing business as
  • Centura Physical Therapy - N Care Other name
  • CommonSpirit Physical Therapy North Care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181221002214 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628989043 Receives reassigned benefits from 32 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Woodland Park, CO; Pueblo, CO; Monument, CO; Colorado Springs, CO; Frisco, CO

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Centura Home Care LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6071 E Woodmen Rd
Ste 200
Colorado Springs, CO 80923
Phone (719) 212-2108

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1831823152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801172",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801172",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232611",
            "telephone_number": "719-776-3000",
            "fax_number": "719-571-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURA VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VP, AMBULATORY",
        "authorized_official_telephone_number": "303-765-6998",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CS PT NORTH CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centura Physical Therapy - N Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CommonSpirit Physical Therapy North Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 12, 2024; 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.