Individual provider Active NPI

Laura Anne Shank, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1851714505
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19712 Issued in CO
Practice address
602 Elkton Dr # 201
Colorado Springs, CO 80907-3514
Phone
(719) 559-0681
Fax
(719) 559-0680
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1288773 TX
Physical Therapist 225100000X 19712 CO Primary

Addresses

Primary practice location

602 Elkton Dr # 201
Colorado Springs, CO 80907-3514

Mailing address

602 Elkton Dr # 201
Colorado Springs, CO 80907-3514
Phone (719) 559-0680

Other practice location 1

231 E Fm 544 Ste 703
Murphy, TX 75094-4048
Phone (729) 054-9299

Other names 1

  • Laura Wick Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210304002377 TX Practitioner - Physical Therapist in Private Practice 4981836475 Reassigns benefits to 1 organization
I20240415003988 CO Practitioner - Physical Therapist in Private Practice 4981836475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

602 Elkton Dr
Suite 201
Colorado Springs, CO 80907-3514
Phone (719) 559-0680

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
96.09
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics and Spine Center PC CurrentSince Mar 20, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 15, 2021 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Mar 15, 2021 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Mar 20, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

602 Elkton Dr
#201
Colorado Springs, CO 80907
Phone (719) 559-0680

602 Elkton Dr
Ste 201
Colorado Springs, CO 80907
Phone (719) 559-0680

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

231 E FM 544
Ste 703
Murphy, TX 75094
Phone (972) 905-4929

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 4

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": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1851714505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 ELKTON DR # 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073514",
            "telephone_number": "719-559-0680",
            "fax_number": "719-559-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 ELKTON DR # 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073514",
            "telephone_number": "719-559-0681",
            "fax_number": "719-559-0680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 E Fm 544 Ste 703",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "TX",
            "postal_code": "750944048",
            "country_code": "US",
            "telephone_number": "729-054-9299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANK",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1288773",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "19712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WICK",
            "code": "1",
            "type": "Former 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 Mar 13, 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.