Organization Active NPI

Delvecchio Physical Therapy

Doing business as GOAT Physical Therapy

  • Physical Therapy Clinic/Center
  • Edwards, CO
National Provider Identifier
1275258113
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DELVECCHIO PHYSICAL THERAPY
Doing business as
GOAT Physical Therapy
Practice address
210 Edwards Village Blvd # a-203
Edwards, CO 81632-5277
Phone
(970) 230-1915
NPI assigned
Oct 4, 2022
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Mark Stephen Delvecchio, PT, DPTNPI 1639607492
Title
Owner
Phone
(970) 230-1915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

210 Edwards Village Blvd # a-203
Edwards, CO 81632-5277

Mailing address

201 Edwards Village Blvd Unit A203
Edwards, CO 81632
Phone (970) 230-1915

Other names 1

  • GOAT Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL WebPT Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220928000984 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486030459 Receives reassigned benefits from 3 practitioners
Practice locations: Edwards, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1275258113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EDWARDS VILLAGE BLVD UNIT A203",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-230-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 EDWARDS VILLAGE BLVD # A-203",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816325277",
            "telephone_number": "970-230-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELVECCHIO PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2026-10-01",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "DELVECCHIO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-230-1915",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "210 Edwards Village Blvd # A-203",
            "city": "Edwards",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816325277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GOAT Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.