Individual provider Active NPI

Tracy L Bugielski, PT

  • Physical Therapist
  • Highlands Ranch, CO
National Provider Identifier
1336196146
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15469 Issued in CO
Practice address
1265 SGT Jon Stiles Dr Unit D
Highlands Ranch, CO 80129
Phone
(303) 274-7332
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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 15469 CO Primary

Addresses

Primary practice location

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

Mailing address

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

Other practice location 1

6200 River Bend Dr
Lisle, IL 60532-4511
Phone (630) 324-8243

Other practice location 2

6200 River Bend Dr
Lisle, IL 60532-4511
Phone (630) 324-8243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180503002340 CO Practitioner - Physical Therapist in Private Practice 7416970173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

2150 Stadium Dr
Boulder, CO 80309-0001
Phone (303) 315-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15469COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Boulder Community Health CurrentSince May 1, 2023 Accepting new patients
Panorama Orthopedics and Spine Center PC CurrentSince May 1, 2018 Accepting new patients
Boulder Community Health Current Accepting new patients
Boulder Community Health CurrentSince May 1, 2023 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince May 1, 2018 Accepting new patients
Illinois Bone and Joint Institute Past Accepting new patients
Boulder Community Health Past Accepting new patients
Athletico LTD Physical Therapist Past Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

2150 Stadium Dr
Fl 2
Boulder, CO 80309
Phone (303) 315-9900

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

2150 Stadium Dr
Boulder, CO 80309
Phone (303) 315-9900

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

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

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

1265 Sgt Jon Stiles Dr
Ste D
Highlands Ranch, CO 80129
Phone (720) 497-6173

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_IBJI
  • FHIR API: https://epicproxy.et1195.epichosted.com/fhirproxy/api/FHIR/R4/

Organizations & group practices 10

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1336196146",
    "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"
        },
        {
            "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": "80129",
            "telephone_number": "303-274-7332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 River Bend Dr",
            "address_purpose": "LOCATION",
            "city": "Lisle",
            "state": "IL",
            "postal_code": "605324511",
            "country_code": "US",
            "telephone_number": "630-324-8243",
            "fax_number": "630-324-8270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 River Bend Dr",
            "address_purpose": "LOCATION",
            "city": "Lisle",
            "state": "IL",
            "postal_code": "605324511",
            "country_code": "US",
            "telephone_number": "630-324-8243",
            "fax_number": "630-324-8270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUGIELSKI",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "15469",
            "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 Dec 6, 2018; 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.