Active NPI
Aaron M Shaver, DPT
- Physical Therapist
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0016646
- Practice address
- 4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080 - Phone
- (303) 449-2730
- NPI assigned
- Jul 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0016646 | CO | Primary |
Addresses
Primary practice location
4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Mailing address
PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134
Other practice location 1
2750 Broadway St
Boulder, CO 80304-3573
Phone (303) 440-3034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
P O Box
Suite 5718
Kalispell, MT 59903-5718
PO Box
Suite 5718
Kalispell, MT 59903
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0016646 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bouldercentre for Orthopedics PC | Current | Accepting new patients | |
| Bouldercentre for Orthopedics | Physical Therapist | Past | Accepting new patients |
| Bouldercentre for Orthopedics | Past | Accepting new patients |
Locations
4740 Pearl Pkwy
Ste 300
Boulder, CO 80301
Phone (303) 442-2666
4740 Pearl Pkwy
Ste 200
Boulder, CO 80301
1185 State Highway 7
Ste 200
Broomfield, CO 80023
Interoperability endpoints
- aaron.shaver.1@3497.direct.athenahealth.com
- https://api.platform.athenahealth.com/3497/brand/1/csg/21/fhir/r4
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.
-
- Orthopaedic Surgery Physician
- Boulder, CO
- NPI 1336197631
-
- Orthopaedic Surgery Physician
- Broomfield, CO
- NPI 1780448951
-
- Physical Therapist
- Boulder, CO
- NPI 1952427049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1114579950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5718",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599035718",
"telephone_number": "406-756-0134",
"fax_number": "406-300-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 PEARL PKWY STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013080",
"telephone_number": "303-449-2730"
}
],
"practiceLocations": [
{
"address_1": "2750 Broadway St",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803043573",
"country_code": "US",
"telephone_number": "303-440-3034",
"fax_number": "303-402-1665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAVER",
"first_name": "AARON",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-11",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0016646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.