Roldan Quintos Alegre, DPT
Individual provider Active NPI Physical Therapist · Colorado Springs, CO
NPI 1841789872 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1841789872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTL.0018584 (CO)
- Practice address
- 2950 Professional PL Ste 200
Colorado Springs, CO 80904-8106 - Phone
- (719) 667-1327
- NPI assigned
- May 4, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2950 Professional PL
Suite 100
Colorado Springs, CO 80904-8106
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220920000166 | CO | Practitioner - Physical Therapist in Private Practice | 6002291564 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Springs Ear Associates | Current |
Accepting new patients | |
| 4344 Woodlands Blvd 240 LLC | Past |
Accepting new patients |
Locations
2950 Professional Pl
Ste 100
Colorado Springs, CO 80904
Phone (719) 667-1327
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0018584 | CO | Yes |
Addresses
Primary practice location
2950 Professional PL Ste 200
Colorado Springs, CO 80904-8106
Mailing address
2950 Professional PL Ste 100
Colorado Springs, CO 80904-8106
Phone (719) 667-1327
Other providers in Colorado Springs, CO
- Alissa Aldaz
- Jennifer June Aldaz
- Katherine Alderman
- Aldovina Counseling Services
- Carah Aldrich
- Samantha Alejandro
- Aleracare of Colorado, LLC
- Aleracare of Colorado, LLC
- Gregory D Ales
- Alfred S Alessi
All providers in Colorado Springs, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.