Individual provider Active NPI

Thomas Rueck Norberto, PT, DPT

  • Physical Therapist
  • Commerce City, CO
National Provider Identifier
1083291660
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018567 Issued in CO
Practice address
13659 E 104TH Ave Unit 300
Commerce City, CO 80022-9402
Phone
(720) 506-5340
NPI assigned
Mar 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28681 MD
Physical Therapist 225100000X 040.0134259 VT
Physical Therapist 225100000X 15370 WI
Physical Therapist 225100000X PTL.0018567 CO Primary

Addresses

Primary practice location

13659 E 104TH Ave Unit 300
Commerce City, CO 80022-9402

Mailing address

13659 E 104TH Ave Unit 300
Commerce City, CO 80022-9402
Phone (720) 506-5340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28681MDMDClinical Social Worker
PTL.0018567COMDPhysical Therapist
040.0134259VTMDPhysical Therapist
15370WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Physical Therapy, LLC Physical Therapist CurrentSince Dec 28, 2022 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Sep 29, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist PastSince Dec 28, 2022 Accepting new patients

Locations

13659 E 104th Ave
Ste 300400
Commerce City, CO 80022
Phone (702) 506-5340

13659 E 104th Ave
Unit 300
Commerce City, CO 80022
Phone (720) 506-5340

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": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1083291660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13659 E 104TH AVE UNIT 300",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229402",
            "telephone_number": "720-506-5340",
            "fax_number": "720-506-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13659 E 104TH AVE UNIT 300",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229402",
            "telephone_number": "720-506-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORBERTO",
        "first_name": "THOMAS",
        "middle_name": "RUECK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-28",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28681",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134259",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15370",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.