Active NPI
Sara Jean Chiulli, PT, DPT
- Physical Therapist
- Broomfield, CO
National Provider Identifier
1982931754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 10456
- Practice address
- 11575 Main St
Suite 100
Broomfield, CO 80020-2780 - Phone
- (303) 467-2288
- Fax
- (303) 410-0100
- NPI assigned
- Nov 15, 2009
- 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 | PT 10456 | CO | Primary |
Addresses
Primary practice location
11575 Main St
Suite 100
Broomfield, CO 80020-2780
Mailing address
275 S Main St
Ste 208
Longmont, CO 80501-6461
Phone (303) 776-3800
Other names 1
- Sarah Jean Zajac
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 S Main St
Suite 200
Longmont, CO 80501-6461
Phone (303) 776-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 10456 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altitude Physical Therapy & Sports Medicine LLC | Current | Accepting new patients | |
| Altitude Physical Therapy & Sports Medicine LLC | Physical Therapist | Current | Accepting new patients |
Locations
275 S Main St
Ste 208
Longmont, CO 80501
Phone (303) 776-3800
275 S Main St
Ste 200
Longmont, CO 80501
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.
-
- Physical Therapy Clinic/Center
- Wheat Ridge, CO
- NPI 1548218241
Physical Therapist
-
- Physical Therapy Clinic/Center
- Longmont, CO
- NPI 1235729567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1982931754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 S MAIN ST",
"address_2": "STE 208",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805016461",
"telephone_number": "303-776-3800",
"fax_number": "303-776-3806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11575 MAIN ST",
"address_2": "SUITE 100",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800202780",
"telephone_number": "303-467-2288",
"fax_number": "303-410-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIULLI",
"first_name": "SARA",
"middle_name": "JEAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-15",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PT 10456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "ZAJAC",
"middle_name": "JEAN",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.