Individual provider Active NPI

Joe Carlo

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1316795057
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1302 S Chambers Rd
Aurora, CO 80017-4045
Phone
(303) 880-8095
NPI assigned
May 8, 2024
Last updated
May 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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 NU Primary

Addresses

Primary practice location

1302 S Chambers Rd
Aurora, CO 80017-4045

Mailing address

196 Ingalls St
Lakewood, CO 80226-1866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605003287 CO Practitioner - Physical Therapist in Private Practice 7618419615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1302 S Chambers Rd
Aurora, CO 80017-4045
Phone (303) 880-8095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy & Sports Training, LLC CurrentSince May 24, 2024 Accepting new patients
Peak Performance Physical Therapy & Sports Training, LLC Physical Therapist CurrentSince May 24, 2024 Accepting new patients
Peak Performance Physical Therapy & Sports Training, LLC Physical Therapist Current Accepting new patients

Locations

1302 S Chambers Rd
Aurora, CO 80017
Phone (303) 521-3155

3911 Ambrosia St
Ste 102
Castle Rock, CO 80109
Phone (303) 870-8242

Organizations & group practices 3

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": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1316795057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 INGALLS ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 S CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174045",
            "telephone_number": "303-880-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLO",
        "first_name": "JOE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.