Individual provider Active NPI

Bryan Allen Siedschlag, PT, DPT

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1023827052
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020322 Issued in CO
Practice address
24300 E Smoky Hill Rd Unit 126
Aurora, CO 80016-1387
Phone
(720) 994-5853
NPI assigned
Jan 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 PTL.0020322 CO Primary

Addresses

Primary practice location

24300 E Smoky Hill Rd Unit 126
Aurora, CO 80016-1387

Mailing address

2557 Moline St
Aurora, CO 80010-1373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131000239 CO Practitioner - Physical Therapist in Private Practice 9133658404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denver Physical Therapy, P.C.Group PAC ID 2961316500, 61 clinicians

Practice addresses (Care Compare)

330 S Vance St
Lakewood, CO 80226-3347
Phone (303) 274-2404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Denver Physical Therapy, P.C. Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients

Locations

24300 E Smoky Hill Rd
Unit 126
Aurora, CO 80016
Phone (303) 680-1772

330 S Vance St
Lakewood, CO 80226
Phone (303) 274-2404

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 2

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": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1023827052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 MOLINE ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24300 E SMOKY HILL RD UNIT 126",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161387",
            "telephone_number": "720-994-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEDSCHLAG",
        "first_name": "BRYAN",
        "middle_name": "ALLEN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.