Active NPI
Colorado Fitness Physio, PLLC
- Clinical Social Worker
- Boulder, CO
National Provider Identifier
1003715111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- COLORADO FITNESS PHYSIO, PLLC
- Practice address
- 505 Thunderbird Drive
Boulder, CO 80303 - Phone
- (855) 749-7461
- NPI assigned
- Nov 4, 2026
- Last updated
- Nov 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Hershberger, PT, MPT
- Title
- Cco
- Phone
- (301) 787-0989
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
505 Thunderbird Drive
Boulder, CO 80303
Mailing address
6100 E Central Ave Ste 3
Wichita, KS 67208-4237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793750400000",
"number": "1003715111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 E CENTRAL AVE STE 3",
"city": "WICHITA",
"state": "KS",
"postal_code": "672084237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 THUNDERBIRD DRIVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "80303",
"telephone_number": "855-749-7461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLORADO FITNESS PHYSIO, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-11-04",
"last_updated": "2026-11-04",
"certification_date": "2026-11-03",
"status": "A",
"authorized_official_last_name": "HERSHBERGER",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CCO",
"authorized_official_telephone_number": "301-787-0989",
"authorized_official_credential": "PT, MPT"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
- Colorado Collective Psychological Services LLC
- Colorado Couples Therapy (Relationship Counseling Center of Colorado)
- Colorado Dhca, Boulder, PLLC (Dental Health of Boulder, PLLC)
- Colorado Eye Center, LLC (Sunrise Vision Care)
- Colorado Family Institute
- Colorado Fitness Physio, PLLC
- Colorado Fitness Physio, PLLC (Fitness Physio)
- Colorado Foundation for Human Development PC
- Colorado Healing Collective
- Colorado Healing Collective
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.