Active NPI
Anna Siliciano, DPT
- Physical Therapist
- Fort Collins, CO
National Provider Identifier
1851691141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0011679
- Practice address
- 2704 Laporte Ave
Fort Collins, CO 80521-2116 - Phone
- (970) 482-7420
- NPI assigned
- Nov 2, 2010
- Last updated
- Jan 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0011679 | CO | Primary |
Addresses
Primary practice location
2704 Laporte Ave
Fort Collins, CO 80521-2116
Mailing address
2407 Laporte Ave
Fort Collins, CO 80521-2297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AO255A | Other | CO | MEDICARE IDENTIFICATION NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0011679 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre School District R-1 | Current | Accepting new patients | |
| Advanced Spine & Rehabilitation | Physical Therapist | Past | Accepting new patients |
Locations
2407 Laporte Ave
Fort Collins, CO 80521
Phone (970) 482-7420
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Fort Collins, CO
- NPI 1235218983
-
- Physical Therapy Clinic/Center
- Fort Collins, CO
- NPI 1992790141
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1851691141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 LAPORTE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805212297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 LAPORTE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805212116",
"telephone_number": "970-482-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILICIANO",
"first_name": "ANNA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-02",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0011679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IDENTIFICATION NUMBER",
"identifier": "AO255A",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.