Individual provider Active NPI

Nicole Ellen Fox, D.P.T.

  • Physical Therapist
  • Superior, CO
National Provider Identifier
1871700419
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 11732 Issued in CO
Practice address
1 Superior Dr Unit B
Superior, CO 80027-8649
Phone
(720) 388-8380
Fax
(720) 920-9430
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 11732 CO Primary

Addresses

Primary practice location

1 Superior Dr Unit B
Superior, CO 80027-8649

Mailing address

10710 Westminster Blvd Unit 120
Westminster, CO 80020-4182
Phone (303) 593-0696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130225000072 CO Practitioner - Physical Therapist in Private Practice 7113028127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Colorado LLCGroup PAC ID 4284867714, 6 clinicians

Practice addresses (Care Compare)

10710 Westminster Blvd
Unit 120
Westminster, CO 80020-4182
Phone (303) 593-0696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT 11732COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Denver Physical Therapy, P.C. Physical Therapist CurrentSince Dec 3, 2012 Accepting new patients
Denver Physical Therapy, P.C. Physical Therapist CurrentSince Dec 3, 2012 Accepting new patients
Elevate Colorado LLC Physical Therapist CurrentSince Dec 1, 2013 Accepting new patients

Locations

11575 Main St
Unit 100
Broomfield, CO 80020
Phone (303) 467-2288

7310 S Alton Way
Ste 6L
Centennial, CO 80112
Phone (303) 790-4495

100 McCaslin Blvd
Unit 107
Superior, CO 80027
Phone (720) 388-8380

1 Superior Dr
Unit B
Superior, CO 80027
Phone (720) 388-8380

10710 Westminster Blvd
Unit 120
Westminster, CO 80020
Phone (303) 593-0696

10710 Westminster Blvd
Westminster, CO 80020
Phone (303) 593-0696

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1871700419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 WESTMINSTER BLVD UNIT 120",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800204182",
            "telephone_number": "303-593-0696",
            "fax_number": "720-920-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUPERIOR DR UNIT B",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278649",
            "telephone_number": "720-388-8380",
            "fax_number": "720-920-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "NICOLE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PT 11732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.