NPIMap

Organization Active NPI

High Plains Pediatric Therapy, PC

  • Physical Therapist
  • Fraser, CO
National Provider Identifier
1982824728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2122 Issued in CO
Legal business name
HIGH PLAINS PEDIATRIC THERAPY, PC
Practice address
431 Brooky Blvd
Fraser, CO 80442-0593
Phone
(970) 531-9460
Fax
(970) 726-5337
NPI assigned
Apr 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Joann E. Roberts, P.T.NPI 1922276880
Title
Physical Therapist
Phone
(970) 531-9460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2122 CO Primary

Addresses

Primary practice location

431 Brooky Blvd
Fraser, CO 80442-0593

Mailing address

PO Box 593
Fraser, CO 80442-0593
Phone (970) 531-9460

Other identifiers 1

IdentifierTypeStateIssuer
97432342MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982824728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "FRASER",
            "state": "CO",
            "postal_code": "804420593",
            "telephone_number": "970-531-9460",
            "fax_number": "970-726-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 BROOKY BLVD",
            "city": "FRASER",
            "state": "CO",
            "postal_code": "804420593",
            "telephone_number": "970-531-9460",
            "fax_number": "970-726-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PLAINS PEDIATRIC THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "970-531-9460",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97432342",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fraser, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.