Individual provider Active NPI

Ryan D Palkoner, PT

  • Physical Therapist
  • Greenwood Village, CO
National Provider Identifier
1013992999
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL0007323 Issued in CO
Practice address
9250 E Costilla Ave Ste 201
Greenwood Village, CO 80112-3662
Phone
(720) 572-4873
Fax
(720) 572-4821
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL0007323 CO Primary

Addresses

Primary practice location

9250 E Costilla Ave Ste 201
Greenwood Village, CO 80112-3662

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131228000316 CO Practitioner - Physical Therapist in Private Practice 2163698416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic Health and Rehab LLCGroup PAC ID 3476975111, 13 clinicians

Practice addresses (Care Compare)

9250 E Costilla Ave
Suite 201 Epic Physical Therapy Grnwd VLG
Greenwood Village, CO 80112-3662
Phone (720) 572-4873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PTL0007323COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Health & Rehab LLC Physical Therapist CurrentSince Jul 6, 2020 Accepting new patients
Epic Health & Rehab LLC Physical Therapist CurrentSince Jul 6, 2020 Accepting new patients
Team Health & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

9250 E Costilla Ave
Ste 201
Greenwood Village, CO 80112
Phone (720) 572-4873

9088 Ridgeline Blvd
Ste 106
Highlands Ranch, CO 80129
Phone (720) 344-0139

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1013992999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-309-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 E COSTILLA AVE STE 201",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801123662",
            "telephone_number": "720-572-4873",
            "fax_number": "720-572-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALKONER",
        "first_name": "RYAN",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0007323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.