Individual provider Active NPI

Victor Khader Najjar, PT, DPT

  • Physical Therapist
  • Longmont, CO
National Provider Identifier
1043075492
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0019675 Issued in CO
Practice address
275 S Main St
Longmont, CO 80501-6462
Phone
(303) 776-3800
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 0019675 CO Primary

Addresses

Primary practice location

275 S Main St
Longmont, CO 80501-6462

Mailing address

2107 3Rd Ave
Longmont, CO 80501-4788
Phone (773) 407-5991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404003959 CO Practitioner - Physical Therapist in Private Practice 1658719919 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
Altitude Physical Therapy and Sports Medicine LLCGroup PAC ID 8628050267, 18 clinicians

Practice addresses (Care Compare)

275 S Main St
Suite 200
Longmont, CO 80501-6461
Phone (303) 776-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0019675COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Physical Therapy & Sports Medicine LLC CurrentSince Mar 1, 2024 Accepting new patients
Altitude Physical Therapy & Sports Medicine LLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients

Locations

933 Alpine Ave
Boulder, CO 80304
Phone (303) 444-0378

275 S Main St
Ste 200
Longmont, CO 80501

275 S Main St
Ste 208
Longmont, CO 80501
Phone (303) 776-3800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1043075492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 3RD AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014788",
            "telephone_number": "773-407-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016462",
            "telephone_number": "303-776-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJJAR",
        "first_name": "VICTOR",
        "middle_name": "KHADER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.