NPIMap

Organization Active NPI

Denver Physical Therapy, P.C.

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1235183641
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DENVER PHYSICAL THERAPY, P.C.
Practice address
1630 Welton St
7TH Floor
Denver, CO 80202-4257
Phone
(303) 892-8850
Fax
(303) 892-5844
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Robert Pace
Title
Coo
Phone
(213) 804-1712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1630 Welton St
7TH Floor
Denver, CO 80202-4257

Mailing address

7310 S Alton Way
Ste 6L
Centennial, CO 80112-2334
Phone (303) 790-4495

Other identifiers 1

IdentifierTypeStateIssuer
DEN0503OtherCOANTHEM BLUE CROSS/SHIELD

Other names 1

  • Pro Active Physical Therapy Denver Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080911000254 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961316500 Receives reassigned benefits from 90 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Strasburg, CO; Parker, CO; Brighton, CO; Lakewood, CO; Highlands Ranch, CO; Greenwood Village, CO; Englewood, CO; Eaton, CO…

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory

Locations

1630 Welton St
Fl 7
Denver, CO 80202
Phone (303) 892-8850

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1235183641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 S ALTON WAY",
            "address_2": "STE 6L",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122334",
            "telephone_number": "303-790-4495",
            "fax_number": "720-488-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 WELTON ST",
            "address_2": "7TH FLOOR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802024257",
            "telephone_number": "303-892-8850",
            "fax_number": "303-892-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "213-804-1712"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/SHIELD",
            "identifier": "DEN0503",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Active Physical Therapy Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.