Individual provider Active NPI

Daniel Paul Fogarty, MPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1265543029
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5356 Issued in CO
Practice address
3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone
(719) 265-6601
Fax
(719) 265-6649
NPI assigned
Aug 31, 2006
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 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 5356 CO Primary

Addresses

Primary practice location

3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918

Mailing address

3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630
Phone (719) 265-6601

Other practice location 1

3425 Austin Bluffs Parkway
Suite 105
Colorado Springs, CO 80918-9998
Phone (719) 265-6601

Other practice location 2

3425 Austin Bluffs Parkway
Suite 105
Colorado Springs, CO 80918-9998
Phone (719) 265-6601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000957 CO Practitioner - Physical Therapist in Private Practice 4183511314 Reassigns benefits to 1 organization

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
5356COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 16, 2019 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Panorama Orthopedics and Spine Center PC CurrentSince Aug 16, 2019 Accepting new patients
All Abilities Health & Rehab PLLC Physical Therapist PastSince Apr 26, 2021 Accepting new patients

Locations

1230 Tenderfoot Hill Rd
Ste 155
Colorado Springs, CO 80906
Phone (719) 527-3383

3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 265-6601

660 Golden Ridge Rd
Ste 130
Golden, CO 80401
Phone (303) 275-2190

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

Organizations & group practices 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1265543029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186630",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80918",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3425 Austin Bluffs Parkway",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809189998",
            "country_code": "US",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3425 Austin Bluffs Parkway",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809189998",
            "country_code": "US",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "5356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.