VILLAGE PHYSICAL THERAPY, P.C.
NPI 1790805000
Physical Therapist in Canon City, CO

Active since March 30, 2007
109 LATIGO LN, SUITE A, CANON CITY, CO 81212(719) 562-0328(719) 575-0872 Get Directions Write a Review

NPPES record last updated: May 10, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Village Physical Therapy, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VILLAGE PHYSICAL THERAPY, P.C. (NPI 1790805000) is a healthcare organization registered as a physical therapist in Canon City, Colorado and active in the NPI registry since March 2007. The organization lists Michele Childs, Owner-president, as its authorized official.

NPPES Registry Identity

NPI1790805000
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameVILLAGE PHYSICAL THERAPY, P.C.
Location Address109 LATIGO LN, SUITE ACanon City, CO 81212-8112
Mailing Address545 E Pikes Peak Ave, Suite 320Colorado Springs, CO 80903-3637 · (719) 577-4104 · Fax (719) 575-0872
Fax(719) 575-0872
Organization SubpartNo
Authorized OfficialMichele ChildsOwner-president · (719) 577-4104
Enumeration DateMarch 30, 2007
Last NPPES UpdateMay 10, 2010
✔ NPI 1790805000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CO · 1497
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
109 LATIGO LN, Canon City, CO 81212

Other Identifiers 1

Medicare ID-Type UnspecifiedC20353CO · Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Village Physical Therapy, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Village Physical Therapy, P.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Physical Therapist in Private Practice
NPI 1063151348
1209 PASEO DEL NORTE STE 3
Pueblo, CO 81008
(719) 569-5691
✔ Accepts Medicare32 mi
Physical Therapist in Private Practice
NPI 1275076291
5825 DELMONICO DR
Colorado Springs, CO 80919
(719) 577-4104
✔ Accepts Medicare38 mi
Physical Therapist in Private Practice
NPI 1215452057
5825 DELMONICO DR STE 300
Colorado Spgs, CO 80919
(719) 577-4104
✔ Accepts Medicare38 mi
Physical Therapist in Private Practice
NPI 1467966978
5825 DELMONICO DR STE 300
Colorado Springs, CO 80919
(719) 577-4104
✔ Accepts Medicare38 mi
Physical Therapist in Private Practice
NPI 1760768683
4110 BRIARGATE PKWY SUITE 300
Colorado Springs, CO 80920
(719) 632-7669
✔ Accepts Medicare43 mi
Physical Therapist in Private Practice
NPI 1487669230
9201 W. 133RD ST. SUITE B
Overland Park, KS 66213
(913) 814-9431
✔ Accepts Medicare568 mi
Physical Therapist in Private Practice
NPI 1043934193
409 TALLULAH RD
Robbinsville, NC 28771
(828) 479-8320
1,201 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Village Physical Therapy, P.C.'s NPI number?

The NPI number for Village Physical Therapy, P.C. is 1790805000. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Village Physical Therapy, P.C. located?

Village Physical Therapy, P.C. is located at 109 Latigo Ln Suite A, Canon City, CO 81212. The listed phone number is (719) 562-0328.

What is Village Physical Therapy, P.C.'s specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Village Physical Therapy, P.C. enrolled in Medicare?

Yes. Village Physical Therapy, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Village Physical Therapy, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Village Physical Therapy, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Village Physical Therapy, P.C. was last updated on May 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.