Active NPI
Michelle Wulf, PT
- Physical Therapist
- Centennial, CO
National Provider Identifier
1871603373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 7340 S Alton Way
11-D
Centennial, CO 80112-2335 - Phone
- (720) 493-1181
- Fax
- (720) 493-1191
- NPI assigned
- Aug 30, 2006
- 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 | Primary |
Addresses
Primary practice location
7340 S Alton Way
11-D
Centennial, CO 80112-2335
Mailing address
9776 W. Morraine Ave
Littleton, CO 80127
Phone (402) 650-2458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8411 | Other | CO | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Nebraska College of Medicine, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
19033 Plaza Dr
Parker, CO 80134-9044
Phone (303) 805-4497
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eaton & Childs, Inc. | Physical Therapist | Current | Accepting new patients |
| Sport and Spine Physical Therapy, Inc. | Past | Accepting new patients |
Locations
19033 Plaza Dr
Parker, CO 80134
Phone (303) 805-4497
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 and National Provider Directory roles.
-
- Physical Therapist
- Parker, CO
- NPI 1760501027
-
- Physical Therapy Clinic/Center
- Centennial, CO
- NPI 1558399121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1871603373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9776 W. MORRAINE AVE",
"city": "LITTLETON",
"state": "CO",
"postal_code": "80127",
"telephone_number": "402-650-2458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7340 S ALTON WAY",
"address_2": "11-D",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122335",
"telephone_number": "720-493-1181",
"fax_number": "720-493-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WULF",
"first_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "8411",
"state": "CO"
}
],
"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 Jul 26, 2012; 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.