Individual provider Active NPI

Samuel Kushner, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1194204883
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017836 Issued in CO
Practice address
3801 E Florida Ave Ste 330
Denver, CO 80210-2546
Phone
(303) 370-2670
Fax
(303) 370-2696
NPI assigned
Aug 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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.0017836 CO Primary

Addresses

Primary practice location

3801 E Florida Ave Ste 330
Denver, CO 80210-2546

Mailing address

3801 E Florida Ave
Ste 330
Denver, CO 80210-2546
Phone (303) 370-2670

Other practice location 1

10315 S Progress Way Unit 8
Parker, CO 80134-4000
Phone (720) 773-8082

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211014000631 CO Practitioner - Physical Therapist in Private Practice 9436400538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panther Physical Therapy, Inc.Group PAC ID 4688670326, 13 clinicians

Practice addresses (Care Compare)

5935 S Zang St
Unit 9
Littleton, CO 80127-4645
Phone (303) 979-5511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0017836COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physio Pro, Inc. Physical Therapist CurrentSince Sep 27, 2021 Accepting new patients
Physio Pro, Inc. Physical Therapist CurrentSince Sep 27, 2021 Accepting new patients
Panther Physical Therapy, Inc. Physical Therapist CurrentSince Jan 3, 2025 Accepting new patients
Physio Pro, Inc. Physical Therapist PastSince Nov 1, 2020 Accepting new patients

Locations

4601 Quebec St
Ste C10
Denver, CO 80216
Phone (720) 776-7520

3801 E Florida Ave
Ste 330
Denver, CO 80210
Phone (303) 370-2670

5935 S Zang St
Unit 9
Littleton, CO 80127
Phone (303) 979-5511

10315 S Progress Way
Unit 8
Parker, CO 80134
Phone (303) 370-2670

10311 S Progress Way
Unit N3
Parker, CO 80134
Phone (720) 773-8082

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.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1194204883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE",
            "address_2": "STE 330",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102546",
            "telephone_number": "303-370-2670",
            "fax_number": "303-370-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE STE 330",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102546",
            "telephone_number": "303-370-2670",
            "fax_number": "303-370-2696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10315 S Progress Way Unit 8",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801344000",
            "country_code": "US",
            "telephone_number": "720-773-8082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "SAMUEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017836",
            "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 Jan 17, 2024; 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.