Individual provider Active NPI

Steven David Medberry, PT, DPT

  • Physical Therapist
  • Highlands Ranch, CO
National Provider Identifier
1245688498
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0014040 Issued in CO
Practice address
1265 SGT Jon Stiles Dr Unit D
Highlands Ranch, CO 80129-2266
Phone
(303) 274-7332
Fax
(720) 497-6733
NPI assigned
May 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 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 PTL.0014040 CO Primary

Addresses

Primary practice location

1265 SGT Jon Stiles Dr Unit D
Highlands Ranch, CO 80129-2266

Mailing address

1265 SGT Jon Stiles Dr Unit D
Highlands Ranch, CO 80129-2266
Phone (303) 274-7332

Other practice location 1

11325 Colorado Blvd
Thornton, CO 80233-2601
Phone (303) 457-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
96.09
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0014040COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics and Spine Center, PC CurrentSince Apr 21, 2022 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Apr 21, 2022 Accepting new patients
Colorado Orthopedic Rehabilitation Specialist, LLC CurrentSince May 31, 2016 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients

Locations

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

1265 Sgt Jon Stiles Dr
Unit D
Highlands Ranch, CO 80129
Phone (303) 274-7332

11325 Colorado Blvd
Thornton, CO 80233
Phone (303) 457-2022

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1245688498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 SGT JON STILES DR UNIT D",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292266",
            "telephone_number": "303-274-7332",
            "fax_number": "720-497-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 SGT JON STILES DR UNIT D",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292266",
            "telephone_number": "303-274-7332",
            "fax_number": "720-497-6733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11325 Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802332601",
            "country_code": "US",
            "telephone_number": "303-457-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDBERRY",
        "first_name": "STEVEN",
        "middle_name": "DAVID",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.