Alicia Marie Pfeiffer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0011255 Issued in CO

Practice address

300 Nickel St Ste 6
Broomfield, CO 80020-2097

Phone

(303) 460-9129

Fax

(303) 469-2324

NPI assigned

Jul 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Alicia Marie Shank Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Orthopedic Rehabilitation Specialist, LLCGroup PAC ID 9133157753, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Colorado Orthopedic Rehabilitation Specialist, LLC

  • Physical Therapy Clinic/Center
  • Thornton, CO
  • NPI 1598801391
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962799122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-546-9158",
            "fax_number": "303-546-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NICKEL ST STE 6",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202097",
            "telephone_number": "303-460-9129",
            "fax_number": "303-469-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3724 E 120th Ave",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802331656",
            "country_code": "US",
            "telephone_number": "303-457-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFEIFFER",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0011255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "SHANK",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Peterson, PHARMD
• Jenna Peterson, MA, LPCC
• Rebecca Renee Peterson, CBE, CPD, CNA
• Adam Harrison Petrovich
• Kyla Pettie
• Allison Roese Pfeiffer
• Katalin Pfeiffer, MNT
• Haley Pflum, RBT
• Thomas Anh Pham, MD
• Savivan Phanekham, PHARMD

• Physical Therapist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.