Active NPI
Gerald Christopher Vickers, P.T.
- Physical Therapist
- Loma, CO
National Provider Identifier
1992035687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2974
- Practice address
- 1336 M 1/2 Rd
Loma, CO 81524-9728 - Phone
- (970) 858-1025
- NPI assigned
- Jan 3, 2010
- Last updated
- Jan 3, 2010
- Sex
- Male
- 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 | 2974 | CO | Primary |
Addresses
Primary practice location
1336 M 1/2 Rd
Loma, CO 81524-9728
Mailing address
1336 M 1/2 Rd
Loma, CO 81524-9728
Phone (970) 858-1025
Other names 1
- Chris Vickers
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 |
|---|---|---|---|
| 2974 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports & Orthopaedic Associates of the Redlands, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Grand Junction, CO
- NPI 1760466601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262476800000",
"number": "1992035687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 M 1/2 RD",
"city": "LOMA",
"state": "CO",
"postal_code": "815249728",
"telephone_number": "970-858-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1336 M 1/2 RD",
"city": "LOMA",
"state": "CO",
"postal_code": "815249728",
"telephone_number": "970-858-1025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERS",
"first_name": "GERALD",
"middle_name": "CHRISTOPHER",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-03",
"last_updated": "2010-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "2974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRIS",
"last_name": "VICKERS",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Loma, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.