Individual provider Active NPI

Paden Wolfe, DPT

  • Specialist
  • Denver, CO
National Provider Identifier
1154470698
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6156 Issued in CO
Practice address
495 Uinta Way
Suite 110
Denver, CO 80230-7110
Phone
(303) 856-3299
Fax
(303) 856-7787
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6156 CO Primary

Addresses

Primary practice location

495 Uinta Way
Suite 110
Denver, CO 80230-7110

Mailing address

495 Uinta Way
Suite 110
Denver, CO 80230-7110
Phone (303) 856-3299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000505 CO Practitioner - Physical Therapist in Private Practice 5890850119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile High Physical Therapy, LLCGroup PAC ID 0941277305, 4 clinicians

Practice addresses (Care Compare)

495 Uinta Way
Suite 110
Denver, CO 80230-7198
Phone (303) 856-3299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6156COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Physical Therapy, LLC Specialist CurrentSince Jun 1, 2000 Accepting new patients
Synergy Manual Physical Therapy, PC Physical Therapist Past Accepting new patients

Locations

495 Uinta Way
Ste 110
Denver, CO 80230
Phone (303) 856-3299

Organizations & group practices 2

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1154470698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 UINTA WAY",
            "address_2": "SUITE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307110",
            "telephone_number": "303-856-3299",
            "fax_number": "303-856-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 UINTA WAY",
            "address_2": "SUITE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307110",
            "telephone_number": "303-856-3299",
            "fax_number": "303-856-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "PADEN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "6156",
            "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 Apr 5, 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.

Verify at the official NPI Registry.