Individual provider Active NPI

Courtney Jean Niesent, DPT

  • Specialist
  • Greeley, CO
National Provider Identifier
1962600429
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9647 Issued in CO
Practice address
3624 W 10TH St
Greeley, CO 80634-1821
Phone
(970) 353-2101
Fax
(970) 353-0754
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9647 CO Primary

Addresses

Primary practice location

3624 W 10TH St
Greeley, CO 80634-1821

Mailing address

3624 W 10TH St
Greeley, CO 80634-1821
Phone (970) 353-2101

Other identifiers 1

IdentifierTypeStateIssuer
9647OtherCOSTATE LICENSE NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9647COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Physical Therapy, P.C. Specialist Past Accepting new patients
Solecki Chiropractic & Physical Therapy Clinic PC PastSince Jul 2, 2001 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1962600429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341821",
            "telephone_number": "970-353-2101",
            "fax_number": "970-353-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 W 10TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806341821",
            "telephone_number": "970-353-2101",
            "fax_number": "970-353-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIESENT",
        "first_name": "COURTNEY",
        "middle_name": "JEAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "9647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "9647",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.