Active NPI
Seneca Webb Tantum, PT
- Physical Therapist
- Boulder, CO
National Provider Identifier
1982803045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9678
- Practice address
- 295 Broken Fence Rd
Boulder, CO 80302-9607 - Phone
- (303) 601-6666
- Fax
- (303) 447-3390
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 9678 | CO | Primary |
Addresses
Primary practice location
295 Broken Fence Rd
Boulder, CO 80302-9607
Mailing address
4645 Kirkwood CT
Boulder, CO 80301-4235
Phone (720) 951-0481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9678 | Other | CO | PT LICENSE |
Other names 1
- Miss Senca L Webb
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9678 | CO | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302307200000",
"number": "1982803045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 KIRKWOOD CT",
"city": "BOULDER",
"state": "CO",
"postal_code": "803014235",
"telephone_number": "720-951-0481",
"fax_number": "303-447-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 BROKEN FENCE RD",
"city": "BOULDER",
"state": "CO",
"postal_code": "803029607",
"telephone_number": "303-601-6666",
"fax_number": "303-447-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANTUM",
"first_name": "SENECA",
"middle_name": "WEBB",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2011-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "9678",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "9678",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SENCA",
"last_name": "WEBB",
"middle_name": "L",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.