Individual provider Active NPI

Joe R Schroeder, DPT

  • Physical Therapist
  • Windsor, CO
National Provider Identifier
1104164953
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1209776 Issued in TX
Practice address
1230 W Ash St Unit a
Windsor, CO 80550-4677
Phone
(970) 561-7111
Fax
(970) 561-7112
NPI assigned
Jan 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0012098 CO
Physical Therapist 225100000X 1209776 TX Primary

Addresses

Primary practice location

1230 W Ash St Unit a
Windsor, CO 80550-4677

Mailing address

1230 W Ash St Unit a
Windsor, CO 80550-4677
Phone (970) 561-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200609003301 CO Practitioner - Physical Therapist in Private Practice 4486075975 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Form LLCGroup PAC ID 1052212495, 4 clinicians
Fortitude Physical Therapy, LLCGroup PAC ID 0648531871, 5 clinicians

Practice addresses (Care Compare)

1093 E Bridge St
Brighton, CO 80601-2252
Phone (303) 655-9005

4356 24TH St Rd
Greeley, CO 80634-3330
Phone (970) 702-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0012098COMDPhysical Therapist
1209776TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fortitude Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Peak Form LLC Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients
Sisu Therapies LLC Physical Therapist CurrentSince Jan 5, 2020 Accepting new patients
Peak Form LLC Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients
Peak Form LLC Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients

Locations

695 S Broadway St
Ste A
Boulder, CO 80305
Phone (303) 402-9283

1093 E Bridge St
Brighton, CO 80601
Phone (303) 655-9005

3490 Centennial Blvd
Colorado Springs, CO 80907
Phone (719) 685-8888

9208 Grand Cordera Pkwy
Colorado Springs, CO 80924
Phone (303) 877-8517

4356 24th Street Rd
Greeley, CO 80634
Phone (719) 900-1398

1230 W Ash St
Unit A
Windsor, CO 80550
Phone (970) 561-7111

1296 Main St
Unit B
Windsor, CO 80550
Phone (970) 561-7111

Organizations & group practices 5

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": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1104164953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 W ASH ST UNIT A",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504677",
            "telephone_number": "970-561-7111",
            "fax_number": "970-561-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W ASH ST UNIT A",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504677",
            "telephone_number": "970-561-7111",
            "fax_number": "970-561-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JOE",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-28",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012098",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1209776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.