Active NPI
Jeffrey Willard Newman, PT
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1992028856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1018646
- Practice address
- 4715 Star Ranch Rd
Colorado Springs, CO 80906-7660 - Phone
- (719) 527-0669
- Fax
- (719) 527-9893
- NPI assigned
- Mar 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1018646 | TX | Primary |
| Physical Therapist | 225100000X | 2406 | CO | |
| Sports Physical Therapist | 2251S0007X | 1018646 | TX | |
| Orthopedic Physical Therapist | 2251X0800X | 1018646 | TX | |
| Orthopedic Physical Therapist | 2251X0800X | 2406 | CO |
Addresses
Primary practice location
4715 Star Ranch Rd
Colorado Springs, CO 80906-7660
Mailing address
4715 Star Ranch Rd
Colorado Springs, CO 80906-7660
Phone (719) 527-0669
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018646 | TX | MD | Orthopedic Physical Therapist |
| 2406 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1992028856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4715 STAR RANCH RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809067660",
"telephone_number": "719-527-0669",
"fax_number": "719-527-9893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 STAR RANCH RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809067660",
"telephone_number": "719-527-0669",
"fax_number": "719-527-9893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "JEFFREY",
"middle_name": "WILLARD",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-08",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1018646",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "2406",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TX",
"license": "1018646",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1018646",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "2406",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.