Organization Active NPI

Vive Physiotherapy, PLLC

  • Physical Therapist
  • Erie, CO
National Provider Identifier
1962166629
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VIVE PHYSIOTHERAPY, PLLC
Practice address
2342 Dogwood Dr
Erie, CO 80516-7933
Phone
(970) 988-9804
NPI assigned
Oct 28, 2021
Last updated
Nov 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Dr. Danielle Nicole Selby, DPTNPI 1366622219
Title
Physical Therapist
Phone
(970) 988-9804

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

2342 Dogwood Dr
Erie, CO 80516-7933

Mailing address

2342 Dogwood Dr
Erie, CO 80516-7933
Phone (970) 988-9804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211209003027 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507256385 Receives reassigned benefits from 2 practitioners
Practice locations: Erie, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1962166629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 DOGWOOD DR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167933",
            "telephone_number": "970-988-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 DOGWOOD DR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167933",
            "telephone_number": "970-988-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVE PHYSIOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "970-988-9804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.