Individual provider Active NPI

Paula Spilsbury, PTA

  • Physical Therapy Assistant
  • Greenwood Village, CO
National Provider Identifier
1881064483
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
09015 Issued in OR
Practice address
8301 E Prentice Ave Ste 207
Greenwood Village, CO 80111-2905
Phone
(719) 630-7500
NPI assigned
Sep 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 09015 OR Primary
Physical Therapy Assistant 225200000X P1 60433306 WA

Addresses

Primary practice location

8301 E Prentice Ave Ste 207
Greenwood Village, CO 80111-2905

Mailing address

12440 Eagle Dr
Burlington, WA 98233-2795
Phone (360) 421-5054

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
09015ORMDPhysical Therapy Assistant
P1 60433306WAMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1881064483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 EAGLE DR",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332795",
            "telephone_number": "360-421-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 E PRENTICE AVE STE 207",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112905",
            "telephone_number": "719-630-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILSBURY",
        "first_name": "PAULA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "09015",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60433306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.