Active NPI
William C. Dmytriw, P.T.
- Physical Therapist
- Westminster, CO
National Provider Identifier
1124143854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6590
- Practice address
- 11025 N. Dover St
Suite 400
Westminster, CO 80021 - Phone
- (303) 446-2200
- Fax
- (303) 446-2201
- NPI assigned
- Mar 20, 2007
- 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 | 6590 | CO | Primary |
Addresses
Primary practice location
11025 N. Dover St
Suite 400
Westminster, CO 80021
Mailing address
PO Box 270217
Louisville, CO 80027-5003
Phone (303) 446-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IMS67413 | Other | BCBS | |
| A007 | Other | TRICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6590 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Current | Accepting new patients | |
| Impact Sports Medicine PC | Past | Accepting new patients | |
| Mustard Seed Wellness, PC | Past | Accepting new patients |
Interoperability endpoints
- wdmytriw99646@direct.childrenscolorado.org
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Physical Therapy Clinic/Center
- Broomfield, CO
- NPI 1306927496
-
dba Impact Sports Medicine
- Physical Therapy Clinic/Center
- Westminster, CO
- NPI 1053577759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1124143854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270217",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800275003",
"telephone_number": "303-446-2200",
"fax_number": "303-446-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11025 N. DOVER ST",
"address_2": "SUITE 400",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "80021",
"telephone_number": "303-446-2200",
"fax_number": "303-446-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DMYTRIW",
"first_name": "WILLIAM",
"middle_name": "C.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "6590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "IMS67413",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A007",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.