NPIMap

Organization Active NPI

Northgate Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Monument, CO
National Provider Identifier
1942548839
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
8499 Issued in CO
Legal business name
NORTHGATE PHYSICAL THERAPY, P.C.
Practice address
16055 Old Forest PT
Suite 101B
Monument, CO 80132-8670
Phone
(719) 247-8916
Fax
(719) 247-8930
NPI assigned
Jan 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Rebecca Story Dunbar, PTNPI 1043558935
Title
President
Phone
(719) 247-8916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8499 CO Primary

Addresses

Primary practice location

16055 Old Forest PT
Suite 101B
Monument, CO 80132-8670

Mailing address

PO Box 63113
Colorado Springs, CO 80962-3113
Phone (719) 247-8916

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210405000205 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133536428 Receives reassigned benefits from 3 practitioners
Practice locations: Monument, CO

National Provider Directory

National Provider Directory

Locations

16055 Old Forest Pt
Ste 101B
Monument, CO 80132
Phone (719) 247-8916

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1942548839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63113",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809623113",
            "telephone_number": "719-247-8916",
            "fax_number": "719-247-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 OLD FOREST PT",
            "address_2": "SUITE 101B",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328670",
            "telephone_number": "719-247-8916",
            "fax_number": "719-247-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHGATE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "STORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-247-8916",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "8499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.