Active NPI
Holden Speer, PT
- Physical Therapist
- Denver, CO
National Provider Identifier
1124694419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0017626
- Practice address
- 200 Quebec St # 215
Denver, CO 80230-7144 - Phone
- (303) 341-0369
- NPI assigned
- May 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 0017626 | CO | |
| Physical Therapist | 225100000X | PTL.0017626 | CO | Primary |
Addresses
Primary practice location
200 Quebec St # 215
Denver, CO 80230-7144
Mailing address
378 Potomac Way Apt D106
Aurora, CO 80011-8581
Phone (319) 400-9220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Denver, CO 80246
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0017626 | CO | MD | Physical Therapist |
| 0017626 | CO | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Colorado Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients |
Locations
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 4
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.
-
- Physical Therapist
- Denver, CO
- NPI 1891461125
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Maternal & Fetal Medicine Physician
- Wheat Ridge, CO
- NPI 1871330100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1124694419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "378 POTOMAC WAY APT D106",
"city": "AURORA",
"state": "CO",
"postal_code": "800118581",
"telephone_number": "319-400-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 QUEBEC ST # 215",
"city": "DENVER",
"state": "CO",
"postal_code": "802307144",
"telephone_number": "303-341-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEER",
"first_name": "HOLDEN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-27",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "0017626",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0017626",
"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 Aug 19, 2021; 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.