Individual provider Active NPI

Aidan Wilson Skeeters, DPT

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1104665272
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0000334 Issued in CO
Practice address
3455 Lutheran Pkwy
Wheat Ridge, CO 80033-6028
Phone
(303) 456-6000
NPI assigned
May 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 0000334 CO Primary

Addresses

Primary practice location

3455 Lutheran Pkwy
Wheat Ridge, CO 80033-6028

Mailing address

3808 N Franklin St
Denver, CO 80205-4267
Phone (502) 315-9775

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030001517 CO Practitioner - Physical Therapist in Private Practice 6204369135 Reassigns benefits to 4 organizations

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
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians
Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, 327 clinicians

Practice addresses (Care Compare)

Denver, CO 80246
Phone (866) 525-3175

12905 W 40TH Ave
Suite 520
Golden, CO 80401-2790
Phone (303) 665-2603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000334COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 18, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 18, 2025 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients
Alpine Physical Therapy and Sports Performance Physical Therapist CurrentSince Oct 15, 2025 Accepting new patients

Locations

12650 W 64th Ave
Unit J
Arvada, CO 80004
Phone (303) 423-9000

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1104665272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 N FRANKLIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802054267",
            "telephone_number": "502-315-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336028",
            "telephone_number": "303-456-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEETERS",
        "first_name": "AIDAN",
        "middle_name": "WILSON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0000334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.