Stephanie Carole Pascoe

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

10392 Issued in CO

Practice address

5387 Manhattan Cir
Suite 100
Boulder, CO 80303-4284

Phone

(303) 543-7676

NPI assigned

Jul 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stephanie Carole Newell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Waldron'S Peak Physical Therapy, P.C.

  • Physical Therapist
  • Boulder, CO
  • NPI 1548341951
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1992968671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 KASHMIRE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207614",
            "telephone_number": "719-321-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5387 MANHATTAN CIR",
            "address_2": "SUITE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034284",
            "telephone_number": "303-543-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCOE",
        "first_name": "STEPHANIE",
        "middle_name": "CAROLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "10392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO",
            "identifier": "10392",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "11055-27",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "NEWELL",
            "middle_name": "CAROLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosia W. Parrish, N.D.
• Marisa Parrot
• Alexandra Marie Parshall, AU.D.
• Dario Pasalic
• Bailey Paschal, RBT
• Nicholas Stefan Pasic, M.D.
• Ian David Pasikov, M.A.
• Lauren Pass Erickson, MA, LPC
• Erin Pass, L.AC., DIPL. C.H.
• Paula Joy Passanisi IV

• Orthopedic Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Orthopedic Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.