Individual provider Active NPI

Marissa Gradoz, DPT

  • Physical Therapist
  • Englewood, CO
National Provider Identifier
1184272684
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0015747 Issued in CO
Practice address
175 Inverness Dr W Ste 100
Englewood, CO 80112-5066
Phone
(303) 694-3333
NPI assigned
Aug 28, 2019
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 PTL.0015747 CO Primary

Addresses

Primary practice location

175 Inverness Dr W Ste 100
Englewood, CO 80112-5066

Mailing address

175 Inverness Dr W Ste 100
Englewood, CO 80112-5066
Phone (303) 694-3333

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Colorado Current Accepting new patients
Uchealth Community Services Physical Therapist CurrentSince May 3, 2020 Accepting new patients

Locations

175 Inverness Dr W
Ste 100
Greenwood Village, CO 80112
Phone (303) 964-3333

Interoperability endpoints

  • Direct secure messaging: mgradoz204633@direct.childrenscolorado.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1184272684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 INVERNESS DR W STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125066",
            "telephone_number": "303-694-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 INVERNESS DR W STE 100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125066",
            "telephone_number": "303-694-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADOZ",
        "first_name": "MARISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.