Unknown Individual – Physical Therapist, NPI 1689603052

Unknown Individual is a healthcare provider. based in Montrose, Colorado. specializing in Physical Therapist. They hold a License No. 5133 (CO). The NPI Number for Unknown Individual is 1689603052

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689603052
Phone
(970) 249-1646
Address
611 East Star Court Suite B
Deactivation Date
13 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702404015
Graduation Year
1994 (32 years ago)
PAC ID
1355345349
Group Practice PAC ID
4385830652
Professional Enrollment ID
I20060906000075
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 611 East Star Court Suite B

    Montrose, CO 81401

    Phone: (970) 249-1646

    Type: Location

  • 2233, East Main Street, Montrose, Montrose County, Colorado, 81401, United States

    MONTROSE, CO 814019138

    Phone: (970) 249-3700

    Fax: (970) 249-8421

    Type: Mailing

  • 310, South 9th Street, Montrose, Montrose County, Colorado, 81401, United States

    MONTROSE, CO 814014312

    Phone: (970) 240-4015

    Fax: (970) 249-1983

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81401)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCO97001Physical therapy evaluation9692
PHYSICAL THERAPYCO97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1672117

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1689603052 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Montrose, Colorado?
For routing, start with Montrose, Colorado for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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