NPIMap

Individual provider Active NPI

Alan Ross Hofman, PT, DPT

  • Physical Therapist
  • Arvada, CO
National Provider Identifier
1124494091
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16604 Issued in CO
Practice address
5945 Ward Rd Ste 110
Arvada, CO 80004
Phone
(303) 424-4589
Fax
(303) 424-4632
NPI assigned
Aug 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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 PT011997 GA
Physical Therapist 225100000X 16604 CO Primary

Addresses

Primary practice location

5945 Ward Rd Ste 110
Arvada, CO 80004

Mailing address

5945 Ward Rd Ste 110
Arvada, CO 80004-3901
Phone (303) 424-4589

Other practice location 1

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076-3811
Phone (770) 740-8592

Other practice location 2

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076-3811
Phone (770) 740-8592

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191120000504 CO Practitioner - Physical Therapist in Private Practice 6901115625 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011997GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics & Spine Center, PC CurrentSince Nov 18, 2019 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 2, 2022 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 2, 2022 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Nov 18, 2019 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients

Locations

5945 Ward Rd
Ste 110
Arvada, CO 80004
Phone (303) 424-4589

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

Organizations & group practices 6

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": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1124494091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 WARD RD STE 110",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800043901",
            "telephone_number": "303-424-4589",
            "fax_number": "303-424-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 WARD RD STE 110",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80004",
            "telephone_number": "303-424-4589",
            "fax_number": "303-424-4632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11490 Alpharetta Hwy",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300763811",
            "country_code": "US",
            "telephone_number": "770-740-8592",
            "fax_number": "770-752-9478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11490 Alpharetta Hwy",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300763811",
            "country_code": "US",
            "telephone_number": "770-740-8592",
            "fax_number": "770-752-9478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFMAN",
        "first_name": "ALAN",
        "middle_name": "ROSS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-14",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011997",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "16604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.