Individual provider Active NPI

Trudy Miranda Harvey, PT, DPT, OCS, CFMT

  • Physical Therapist
  • Steamboat Springs, CO
National Provider Identifier
1861802522
Registry record updated May 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL 0012616 Issued in CO
Practice address
1856 Lincoln Ave
Steamboat Springs, CO 80487-5046
Phone
(970) 879-4558
NPI assigned
May 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL 0012616 CO Primary
Physical Therapist 225100000X 3377 NM
Physical Therapist 225100000X 1166253 TX

Addresses

Primary practice location

1856 Lincoln Ave
Steamboat Springs, CO 80487-5046

Mailing address

1856 Lincoln Ave
Steamboat Springs, CO 80487-5046
Phone (970) 879-4558

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTL 0012616COMDPhysical Therapist
3377NMMDPhysical Therapist
1166253TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson & Johnson Physical Therapy PastSince Sep 1, 2016 Accepting new patients

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": "1399161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399161600000",
    "number": "1861802522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 LINCOLN AVE",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804875046",
            "telephone_number": "970-879-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 LINCOLN AVE",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804875046",
            "telephone_number": "970-879-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "TRUDY",
        "middle_name": "MIRANDA",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT, OCS, CFMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-04",
        "last_updated": "2014-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL 0012616",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3377",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1166253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.