Active NPI
Ola A. Simonsson, PT, OCS, MTC
- Physical Therapist
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4161
- Practice address
- 5881 W 16TH St
Greeley, CO 80634-2910 - Phone
- (970) 313-2775
- Fax
- (970) 313-2777
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 4161 | CO | |
| Physical Therapist | 225100000X | 4161 | CO | Primary |
Addresses
Primary practice location
5881 W 16TH St
Greeley, CO 80634-2910
Mailing address
5881 W 16TH St
Greeley, CO 80634-2910
Phone (970) 313-2775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63333821 | Medicaid | CO | |
| P00944902 | Other | CO | MEDICARE RAILROAD CARRIER PTAN |
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
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
6767 29TH St
Greeley, CO 80634-5474
Phone (970) 224-3636
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4161 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
1900 16th St
Greeley, CO 80631
Phone (970) 350-2438
6767 29th St
Fl 1
Greeley, CO 80634
Phone (970) 652-2477
6767 29th St
Greeley, CO 80634
Phone (970) 652-2000
5881 W 16th St
Greeley, CO 80634
Phone (970) 313-2700
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
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.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1871690032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5881 W 16TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342910",
"telephone_number": "970-313-2775",
"fax_number": "970-313-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5881 W 16TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342910",
"telephone_number": "970-313-2775",
"fax_number": "970-313-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONSSON",
"first_name": "OLA",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "PT, OCS, MTC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "4161",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "4161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "63333821",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD CARRIER PTAN",
"identifier": "P00944902",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.