Active NPI
Terri Nishimoto, P.T.
- Physical Therapist
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 2031
- Practice address
- 1601 East 19TH Ave
Suite 5500
Denver, CO 80218-1291 - Phone
- (720) 402-3801
- Fax
- (720) 402-3820
- NPI assigned
- May 11, 2006
- Last updated
- Feb 15, 2012
- 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 | PT 2031 | CO | Primary |
Addresses
Primary practice location
1601 East 19TH Ave
Suite 5500
Denver, CO 80218-1291
Mailing address
1601 East 19TH Ave
Suite 5500
Denver, CO 80218-1291
Phone (720) 402-3801
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, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3020 Carbon PL
Suite 330
Boulder, CO 80301-6148
Phone (303) 938-1141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 2031 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy of Boulder | Physical Therapist | Current | Accepting new patients |
Locations
3020 Carbon Pl
Ste 330
Boulder, CO 80301
Phone (303) 938-1141
275 S Main St
Ste 201
Longmont, CO 80501
Phone (303) 682-2440
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Boulder, CO
- NPI 1215056023
-
- Physical Therapy Clinic/Center
- Denver, CO
- NPI 1477831394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1891745998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 EAST 19TH AVE",
"address_2": "SUITE 5500",
"city": "DENVER",
"state": "CO",
"postal_code": "802181291",
"telephone_number": "720-402-3801",
"fax_number": "720-402-3820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 EAST 19TH AVE",
"address_2": "SUITE 5500",
"city": "DENVER",
"state": "CO",
"postal_code": "802181291",
"telephone_number": "720-402-3801",
"fax_number": "720-402-3820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISHIMOTO",
"first_name": "TERRI",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PT 2031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
- Nine Health Services, Inc. (9Health Fair)
- Ninth Avenue Internal Medicine LLC
- Nirvana Home Health Care LLC
- Nishimoto and Neujahr Physical Therapy LLC
- Marilyn Patricia Nishimoto, R.N.
- Roger D Nishimura, D.D.S.,P.C.
- Janet Sue Nissen, MA SLP CCC
- Allison Kay Nitsch, MD
- Gary Nitta, LPC
- Jacqueline Anne Nitta, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.