DR. CARISSA MARIE WENGROVIUS (NPI# 1093147555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093147555 |
| Entity Type | Individual |
| Full Name | DR. CARISSA MARIE WENGROVIUS |
| Credential | P.T., D.P.T. |
| Practice Address |
801 Main St Ste 10 Louisville CO 80027-1898 |
| Mailing Address |
9538 Castle Ridge Cir Highlands Ranch CO 80129-5701 |
| Practice Telephone | 3036046441 |
| Mailing Telephone | 3038599459 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
0012318 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
801 MAIN ST STE 10 |
| City | LOUISVILLE |
| State | CO |
| Zip Code | 80027-1898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851872469 | Ellen Anderson | Speech-Language Pathologist | 801 Main St Ste 10, Louisville, CO 80027-1898 | 2018-08-22 |
| 1093232225 | Lindsay A Mayors | Physical Therapist | 801 Main St Ste 10, Louisville, CO 80027-1898 | 2017-08-28 |
| 1114307865 | Shekema Mccarthy | Physical Therapist | 801 Main St Ste 10, Louisville, CO 80027-1898 | 2015-06-08 |
| 1861871600 | Melanie Michelle Fargo | Speech-Language Pathologist | 801 Main St Ste 10, Louisville, CO 80027-1898 | 2015-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849951 | Fullswift Physiotherapy, Pllc | Physical Therapist | 538 W. Laurel Ct., Louisville, CO 80027 | 2020-04-11 |
| 1265097547 | Amanda Nicole Calzolano | Occupational Therapist | 165 S Mccaslin Blvd, Suite B, Louisville, CO 80027 | 2019-05-02 |
| 1891258273 | Lisa Apel | Counselor | 287 Century Circle, Louisville, CO 80027 | 2019-04-11 |
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1568942886 | Alessandra Zapiecki | Occupational Therapist | 1107 W Century Dr, Louisville, CO 80027 | 2018-08-16 |
| 1225539935 | Healing Solutions Inc. | Massage Therapist | 362 S. Mccaslin Blvd., Louisville, CO 80027 | 2018-02-27 |
| 1033618632 | Matthew Mandel | Massage Therapist | 1945 Piper St, Superior, CO 80027 | 2018-02-08 |
| 1740794031 | Elise Nicole Brucks | Speech-Language Pathologist | 1007 Century Drive, Louisville, CO 80027 | 2017-11-22 |
| 1043762859 | Options Treatment, LLC | Counselor | 1068 S. 88th Street, Unit A, Louisville, CO 80027 | 2016-10-27 |
| 1225584071 | Trent Sayers Dental PC | Dentist | 1691 Coalton Rd., Superior, CO 80027 | 2016-08-31 |
| Find all providers in zip 80027 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447717822 | Rachel Skidmore | Physical Therapist | 9816 Bluegrass Pkwy, Louisville, KY 40299-1906 | 2019-02-21 |
| 1063836914 | Amanda Tabellion | Physical Therapist | 7011 Hahn St, Louisville, OH 44641-8317 | 2014-02-13 |
| 1568603660 | Donna E. Metzger | Physical Therapist | 708 Braeview Rd, Louisville, KY 40206-2990 | 2009-03-19 |
| 1053573634 | Kidspot Physical Therapy LLC | Physical Therapist | 165 Mccaslin Blvd., Suite B, Louisville, CO 80027 | 2008-06-25 |
| 1770792475 | Kimberly Lynn Wheatley | Physical Therapist | 250 Kenwood Hill Road, Louisville, KY 40214 | 2007-05-21 |
| 1144379645 | Jenny Harrison | Physical Therapist | 385 Lilac Cir, Louisville, CO 80027-2633 | 2007-01-10 |
| 1265504005 | Nancy Marie Cali | Physical Therapist | 7225 Correll Place Drive, Louisville, KY 40228-2618 | 2006-11-15 |
| 1053407577 | Ericka D. Quesada | Physical Therapist | 12027 Running Creek Rd., Louisville, KY 40243 | 2006-10-04 |
| 1174595789 | Elizabeth C Ennis | Physical Therapist | 7410 New Lagrange Rd, Suite 300, Louisville, KY 40222-4871 | 2006-02-07 |
| 1093227167 | A Marshall Physical Therapy, LLC | Physical Therapist | 917 Cypress Ln, Louisville, CO 80027-9429 | 2017-10-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 80027 |
Please comment or provide details below to improve the information on DR. CARISSA MARIE WENGROVIUS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.