Justin T Dudley, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

10871 Issued in CO

Practice address

340 E 1St Ave
Suite 100
Broomfield, CO 80020-2401

Phone

(303) 460-0329

Fax

(303) 460-0387

NPI assigned

Aug 4, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cascade Sports Injury Prevention & Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Arvada, CO
  • NPI 1295072668
  NPD (past) Authorized official
• Vail Physical Therapy, LLC

  • Physical Therapist
  • Vail, CO
  • NPI 1376162883
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1023322773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 MILWAUKEE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802067000",
            "telephone_number": "303-460-0329",
            "fax_number": "303-460-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 1ST AVE",
            "address_2": "SUITE 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202401",
            "telephone_number": "303-460-0329",
            "fax_number": "303-460-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "JUSTIN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "10871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Drenning, MSPT
• Tiffany Leanne Drevo
• Dsep LLC
• Melissa Duarte, MSW, LCSW
• Emily Dubosh, PSY.D.
• Rhonda L Duesterberg, LPC
• Tyler Patrick Duggan, OD
• Lori Kristine Duncan, D.P.T., M.T.C.
• Dora Mae Dunning, LPC
• Marti Duquette, PT

• Orthopedic Physical Therapist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Orthopedic Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.