Individual provider Active NPI

Robert Edwin Meyer III, DPT

  • Physical Therapist
  • Arvada, CO
National Provider Identifier
1205554466
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18579 Issued in CO
Practice address
15530 W 64TH Ave Unit E
Arvada, CO 80007-6874
Phone
(303) 424-4589
Fax
(303) 424-4632
NPI assigned
Aug 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 18579 CO Primary

Addresses

Primary practice location

15530 W 64TH Ave Unit E
Arvada, CO 80007-6874

Mailing address

15530 W 64TH Ave Unit E
Arvada, CO 80007-6874
Phone (303) 424-4589

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831000625 CO Practitioner - Physical Therapist in Private Practice 1658755236 Reassigns benefits to 3 organizations

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
Arvada Sport and Spine GroupGroup PAC ID 1557366606, 4 clinicians

Practice addresses (Care Compare)

12189 W 64TH Ave
Suite 102
Arvada, CO 80004-4031
Phone (303) 424-9549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 18, 2023 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 11, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 18, 2023 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 11, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Arvada Sport and Spine Group CurrentSince Sep 7, 2024 Accepting new patients

Locations

12189 W 64th Ave
Ste 102
Arvada, CO 80004
Phone (303) 424-9549

15530 W 64th Ave
Unit E
Arvada, CO 80007
Phone (303) 424-4589

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

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

Interoperability endpoints

  • Direct secure messaging: robert.meyer.1@29676.direct.athenahealth.com

Organizations & group practices 7

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1205554466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15530 W 64TH AVE UNIT E",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800076874",
            "telephone_number": "303-424-4589",
            "fax_number": "303-424-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15530 W 64TH AVE UNIT E",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800076874",
            "telephone_number": "303-424-4589",
            "fax_number": "303-424-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ROBERT",
        "middle_name": "EDWIN",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "18579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.