Individual provider Active NPI

Elizabeth Agnew, PT, DPT

  • Physical Therapist
  • Louisville, CO
National Provider Identifier
1982959185
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0011753 Issued in CO
Practice address
275 Century Cir
Suite 103
Louisville, CO 80027-9729
Phone
(303) 926-1444
Fax
(303) 926-0038
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0011753 CO Primary

Addresses

Primary practice location

275 Century Cir
Suite 103
Louisville, CO 80027-9729

Mailing address

275 Century Cir
#103
Louisville, CO 80027-9729
Phone (303) 926-1444

Other identifiers 1

IdentifierTypeStateIssuer
0011753OtherCOSTATE PT LICENSE

Other names 1

  • Elizabeth Robertson Former name

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

LicenseStateTypeSpecialty
0011753COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Pelvic Health LLC Physical Therapist CurrentSince May 14, 2023 Accepting new patients

Locations

275 Century Cir
Ste 103
Louisville, CO 80027
Phone (303) 926-1444

Organizations & group practices 1

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1982959185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CENTURY CIR",
            "address_2": "#103",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279729",
            "telephone_number": "303-926-1444",
            "fax_number": "303-926-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CENTURY CIR",
            "address_2": "SUITE 103",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279729",
            "telephone_number": "303-926-1444",
            "fax_number": "303-926-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNEW",
        "first_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0011753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PT LICENSE",
            "identifier": "0011753",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ROBERTSON",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.