Individual provider Active NPI

Tessa Reiss, PT

  • Physical Therapist
  • Centennial, CO
National Provider Identifier
1841060258
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0019556 Issued in CO
Practice address
7340 S Alton Way Ste 11-D
Centennial, CO 80112-2323
Phone
(720) 493-1181
NPI assigned
Jan 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 0019556 CO Primary

Addresses

Primary practice location

7340 S Alton Way Ste 11-D
Centennial, CO 80112-2323

Mailing address

4754 Edison LN
Boulder, CO 80301-2270
Phone (303) 587-2414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131003625 CO Practitioner - Physical Therapist in Private Practice 2062865538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Aurora, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feldhake Physical Therapy LTDGroup PAC ID 0648238410, 33 clinicians

Practice addresses (Care Compare)

7340 S Alton Way
Suite 11 D
Centennial, CO 80112-2323
Phone (720) 493-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0019556COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Feldhake Physical Therapy, LTD. CurrentSince Feb 15, 2024 Accepting new patients

Locations

2418 E Bridge St
Brighton, CO 80601
Phone (303) 655-8699

7340 S Alton Way
Ste 11-D
Centennial, CO 80112
Phone (720) 493-1181

Organizations & group practices 1

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": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1841060258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4754 EDISON LN",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012270",
            "telephone_number": "303-587-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 S ALTON WAY STE 11-D",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122323",
            "telephone_number": "720-493-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISS",
        "first_name": "TESSA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.