Active NPI
Martina Elizabeth Hauptmann, PT
- Physical Therapist
- Boulder, CO
National Provider Identifier
1952554875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10179
- Practice address
- 3000 Center Green Dr Ste 110
Boulder, CO 80301-2364 - Phone
- (303) 413-9903
- Fax
- (303) 447-3390
- NPI assigned
- Oct 23, 2008
- 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 | 10179 | CO | Primary |
Addresses
Primary practice location
3000 Center Green Dr Ste 110
Boulder, CO 80301-2364
Mailing address
295 Broken Fence Rd
Boulder, CO 80302-9607
Phone (303) 601-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10179 | Other | CO | PT LICENSE |
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
- Wayne State University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Lakewood, CO 80232
Phone (716) 444-7751
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10179 | CO | MD | Family Nurse Practitioner |
Organizations & group practices 1
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.
-
- Physical Therapist
- Lakewood, CO
- NPI 1104421304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224720000000",
"number": "1952554875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 BROKEN FENCE RD",
"city": "BOULDER",
"state": "CO",
"postal_code": "803029607",
"telephone_number": "303-601-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 CENTER GREEN DR STE 110",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012364",
"telephone_number": "303-413-9903",
"fax_number": "303-447-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUPTMANN",
"first_name": "MARTINA",
"middle_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2008-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "10179",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 23, 2008; 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.