Individual provider Active NPI

Susan Woodruff, D.P.T.

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1972528743
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0009109 Issued in CO
Practice address
15051 E Mississippi Ave
Aurora, CO 80012-3729
Phone
(720) 359-3100
Fax
(855) 275-5600
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PTL.0009109 CO
Pediatric Physical Therapist 2251P0200X PTL.0009109 CO
Physical Therapist 225100000X PTL.0009109 CO Primary

Addresses

Primary practice location

15051 E Mississippi Ave
Aurora, CO 80012-3729

Mailing address

6835 E 9TH Ave
Denver, CO 80220-4803

Other identifiers 1

IdentifierTypeStateIssuer
38781042MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805001394 CO Practitioner - Physical Therapist in Private Practice 2668919952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ritas Rehabilitation LLCGroup PAC ID 6608313986, 5 clinicians
Body Image Physical Therapy and Fitness P.C.Group PAC ID 2860460466, 3 clinicians

Practice addresses (Care Compare)

15051 E Mississippi Ave
Aurora, CO 80012-3729
Phone (720) 359-3100

6040 S Gun Club Rd Unit
F7 Fyzical Therapy and Balance Center Aurora
Aurora, CO 80016-5305
Phone (720) 870-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ritas Rehabilitation LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients

Locations

15051 E Mississippi Ave
Aurora, CO 80012
Phone (720) 359-3100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1972528743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 E 9TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15051 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123729",
            "telephone_number": "720-359-3100",
            "fax_number": "855-275-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "SUSAN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CO",
            "license": "PTL.0009109",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CO",
            "license": "PTL.0009109",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0009109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38781042",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.