Individual provider Active NPI

Evan Michael Hockenberry, PT, DPT

  • Physical Therapist
  • Golden, CO
National Provider Identifier
1134840523
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0018648 Issued in CO
Practice address
660 Golden Ridge Rd Ste 130
Golden, CO 80401-9541
Phone
(303) 275-2190
Fax
(720) 497-6767
NPI assigned
Sep 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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 0018648 CO Primary

Addresses

Primary practice location

660 Golden Ridge Rd Ste 130
Golden, CO 80401-9541

Mailing address

660 Golden Ridge Rd Ste 130
Golden, CO 80401-9541
Phone (303) 275-2190

Other practice location 1

5790 Yukon St
Arvada, CO 80002-2448
Phone (719) 252-8954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231025003929 CO Practitioner - Physical Therapist in Private Practice 4183070287 Reassigns benefits to 3 organizations
I20260612000835 CA Practitioner - Physical Therapist in Private Practice 4183070287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0018648COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 6, 2025 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Oct 11, 2023 Accepting new patients
Threshold Physical Therapy and Performance, PLLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Panorama Orthopedics and Spine Center PC CurrentSince Oct 11, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Threshold Physical Therapy and Performance, PLLC Physical Therapist CurrentSince Dec 14, 2025 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 6, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 6, 2025 Accepting new patients

Locations

5790 Yukon St
Arvada, CO 80002
Phone (303) 223-7451

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

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

660 Golden Ridge Rd
Ste 130
Golden, CO 80401
Phone (303) 275-2190

Organizations & group practices 12

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Group Denver LLC 571 clinicians
Colorado Luna Care Physical Therapy LLC 210 clinicians
California Luna Care Physical Therapy PC 769 clinicians
Panorama Orthopedics and Spine Center PC 316 clinicians

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

Denver, CO 80246
Phone (866) 525-3175

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

660 Golden Ridge Rd
Suite 130
Golden, CO 80401-9541
Phone (720) 497-6616

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
96.09
Improvement activities
40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1134840523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 130",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-275-2190",
            "fax_number": "720-497-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 130",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-275-2190",
            "fax_number": "720-497-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5790 Yukon St",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800022448",
            "country_code": "US",
            "telephone_number": "719-252-8954",
            "fax_number": "833-379-2562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOCKENBERRY",
        "first_name": "EVAN",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0018648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.

Verify at the official NPI Registry.