Richard J Mraz, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0018875 Issued in CO

Practice address

1715 N Weber St Ste 300
Colorado Springs, CO 80907-7554

Phone

(719) 344-5189

Fax

(719) 368-6692

NPI assigned

Sep 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Springs Orthopaedic GroupGroup PAC ID 5395633747, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Colorado Springs Orthopaedic Group

  • Specialist
  • Colorado Springs, CO
  • NPI 1972578359
  Medicare reassignment Care Compare group NPD
• Colorado Springs Orthopaedic Group

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1417957275
  NPD
• Southern Colorado Health & Rehab

  • Physical Therapy Clinic/Center
  • Pueblo, CO
  • NPI 1093322547
  NPD (past)
• Southern Colorado Health & Rehab

  • Physical Therapist
  • Pueblo, CO
  • NPI 1295198067
  NPD (past)

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1336860147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-300-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N WEBER ST STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077554",
            "telephone_number": "719-344-5189",
            "fax_number": "719-368-6692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Fortino Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810081856",
            "country_code": "US",
            "telephone_number": "719-281-3184",
            "fax_number": "719-299-4088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 W Pueblo Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810043866",
            "country_code": "US",
            "telephone_number": "719-542-0589",
            "fax_number": "719-542-0119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "387 E Enterprise Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810078403",
            "country_code": "US",
            "telephone_number": "719-924-8912",
            "fax_number": "719-696-9115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MRAZ",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-09",
        "last_updated": "2023-01-26",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.