Individual provider Active NPI

Rick Olderman, PT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1114174273
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5852 Issued in CO
Practice address
2828 W 44TH Ave
Denver, CO 80211-1429
Phone
(303) 477-5303
NPI assigned
Aug 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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 5852 CO Primary

Addresses

Primary practice location

2828 W 44TH Ave
Denver, CO 80211-1429

Mailing address

2828 W 44TH Ave
Denver, CO 80211-1429

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
5852COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy at Stapleton, PLLC Physical Therapist CurrentSince Apr 10, 2022 Accepting new patients
Z-Line Pilates, Inc Physical Therapist Past Accepting new patients

Locations

2828 W 44th Ave
Denver, CO 80211
Phone (303) 477-5303

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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1114174273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 W 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 W 44TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111429",
            "telephone_number": "303-477-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDERMAN",
        "first_name": "RICK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "5852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.