Clint Francis Tudahl, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17290 Issued in CO

Practice address

3255 S Wadsworth Blvd Ste a-2
Lakewood, CO 80227-5026

Phone

(303) 993-4438

NPI assigned

Nov 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Colorado Physio Therapy LLCGroup PAC ID 9931462736, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Colorado Physio Therapy LLC

  • Rehabilitation Clinic/Center
  • Aurora, CO
  • NPI 1164939955

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Panorama Orthopedics and Spine Center PC

  • Orthopaedic Surgery Physician
  • Golden, CO
  • NPI 1295787950
  Medicare reassignment NPD
• Panorama Orthopedics & Spine Center, PC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1194390518
  NPD
• Panorama Orthopedics and Spine Center, PC

  • Orthopaedic Surgery Physician
  • Denver, CO
  • NPI 1316663669
  NPD

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1003410846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 S WADSWORTH BLVD STE A-2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275026",
            "telephone_number": "303-993-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 S WADSWORTH BLVD STE A-2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275026",
            "telephone_number": "303-993-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDAHL",
        "first_name": "CLINT",
        "middle_name": "FRANCIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "17290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher G. Tubbs
• Scott Michael Tuchklaper, D.D.S.
• Maria Wurster Tucker, D.O.
• Nicole Tucker, PA-C
• Scarlett Tucker
• Mary Abkemeier Tuholski, MD
• Eric Tulga, LPCC
• Kristen Tully
• Narantsolmon Tumenjargal, PT, DPT
• Veronica Tunis, MA, LPC, NCC

• Physical Therapist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.