Individual provider Active NPI

Erica J. Meyer, MSPT

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1942309794
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0011926 Issued in CO
Practice address
2150 Stadium Dr
Boulder, CO 80309-0001
Phone
(303) 415-4770
Fax
(303) 415-4769
NPI assigned
Sep 21, 2006
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0011926 CO Primary
Sports Physical Therapist 2251S0007X PTL.0011926 CO

Addresses

Primary practice location

2150 Stadium Dr
Boulder, CO 80309-0001

Mailing address

5450 Western Ave
Boulder, CO 80301-2709
Phone (303) 315-9900

Other identifiers 1

IdentifierTypeStateIssuer
60476222MedicaidCO

Other names 1

  • Erica J. Carey Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160801000262 CO Practitioner - Physical Therapist in Private Practice 4981594843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

2150 Stadium Dr
Boulder, CO 80309-0001
Phone (303) 315-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0011926COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Scalone PT, Inc Physical Therapist CurrentSince Feb 17, 2010 Accepting new patients
Boulder Community Health CurrentSince Jul 1, 2016 Accepting new patients
Boulder Community Health CurrentSince Jul 1, 2016 Accepting new patients
Boulder Community Health Current Accepting new patients
RPM Rehab Inc Past Accepting new patients
Boulder Community Health Sports Medicine Imaging LLC Past Accepting new patients
RPM Rehab, Inc Physical Therapist Past Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

12171 World Trade Dr
San Diego, CA 92128
Phone (858) 217-2137

15373 Innovation Dr
Ste 175
San Diego, CA 92128
Phone (858) 675-1133

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

2150 Stadium Dr
Boulder, CO 80309
Phone (303) 315-9900

2150 Stadium Dr
Fl 2
Boulder, CO 80309
Phone (303) 315-9900

5450 Western Ave
Boulder, CO 80301
Phone (303) 415-4770

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1942309794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WESTERN AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012709",
            "telephone_number": "303-315-9900",
            "fax_number": "303-315-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 STADIUM DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803090001",
            "telephone_number": "303-415-4770",
            "fax_number": "303-415-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ERICA",
        "middle_name": "J.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0011926",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "PTL.0011926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60476222",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "CAREY",
            "middle_name": "J.",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.