Individual provider Active NPI

Kolten Tea, DPT

  • Physical Therapist
  • Montrose, CO
National Provider Identifier
1922419647
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12155 Issued in CO
Practice address
300 S Nevada Ave
Montrose, CO 81401-4273
Phone
(970) 249-7751
Fax
(970) 249-5029
NPI assigned
May 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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 12155 CO Primary

Addresses

Primary practice location

300 S Nevada Ave
Montrose, CO 81401-4273

Mailing address

300 S Nevada Ave
Montrose, CO 81401-4273
Phone (970) 249-7751

Other identifiers 1

IdentifierTypeStateIssuer
PTL0012155OtherCOSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622000231 CO Practitioner - Physical Therapist in Private Practice 4880985837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Point Health LLCGroup PAC ID 0143119586, 45 clinicians

Practice addresses (Care Compare)

3330 S Rio Grande Ave
Montrose, CO 81401-4273
Phone (970) 249-7751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12155COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Point Health LLC CurrentSince Sep 25, 2019 Accepting new patients
Vail Med Inc Past Accepting new patients

Locations

2303 S Townsend Ave
Ste E
Montrose, CO 81401
Phone (970) 787-2500

2303 S Townsend Ave
Ste A
Montrose, CO 81401
Phone (970) 240-6136

3330 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 240-7314

300 S Nevada Ave
Montrose, CO 81401
Phone (970) 252-1020

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.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1922419647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014273",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014273",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEA",
        "first_name": "KOLTEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "12155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PTL0012155",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.