Active NPI
Ava Marie Neddermeyer, DPT
- Physical Therapist
- Greenwood Village, CO
National Provider Identifier
1962216853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0020313
- Practice address
- 5670 Greenwood Plaza Blvd Ste Li110
Greenwood Village, CO 80111-2448 - Phone
- (303) 694-9193
- NPI assigned
- Feb 3, 2025
- Last updated
- Feb 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 0020313 | CO | Primary |
Addresses
Primary practice location
5670 Greenwood Plaza Blvd Ste Li110
Greenwood Village, CO 80111-2448
Mailing address
2900 E 16TH Ave Apt 201
Denver, CO 80206-1637
Phone (480) 559-4022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0020313 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Past | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Physical Therapist | Past | Accepting new patients |
| MVP Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba MVP Physical Therapy
- Physical Therapist
- Commerce City, CO
- NPI 1326473141
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Englewood, CO
- NPI 1265401897
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1962216853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 E 16TH AVE APT 201",
"city": "DENVER",
"state": "CO",
"postal_code": "802061637",
"telephone_number": "480-559-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5670 GREENWOOD PLAZA BLVD STE LI110",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801112448",
"telephone_number": "303-694-9193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEDDERMEYER",
"first_name": "AVA",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-03",
"last_updated": "2025-02-03",
"certification_date": "2025-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CO",
"license": "0020313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.