Individual provider Active NPI

Richard Eaton Jr., MSPT

  • Physical Therapist
  • Parker, CO
National Provider Identifier
1376183103
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0006971 Issued in CO
Practice address
19033 E Plaza Dr
Parker, CO 80134-9044
Phone
(303) 805-4497
Fax
(303) 805-3937
NPI assigned
Jan 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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 0006971 CO Primary

Addresses

Primary practice location

19033 E Plaza Dr
Parker, CO 80134-9044

Mailing address

19033 E Plaza Dr
Parker, CO 80134-9044
Phone (303) 805-4497

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210611000941 CO Practitioner - Physical Therapist in Private Practice 1850791997 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Denver, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians
Eaton and Childs, Inc.Group PAC ID 9032519178, 3 clinicians

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

19033 Plaza Dr
Parker, CO 80134-9044
Phone (303) 805-4497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0006971COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eaton & Childs, Inc. Physical Therapist CurrentSince Feb 11, 2021 Accepting new patients

Locations

19033 Plaza Dr
Parker, CO 80134
Phone (303) 805-4497

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1376183103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19033 E PLAZA DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349044",
            "telephone_number": "303-805-4497",
            "fax_number": "303-805-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19033 E PLAZA DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349044",
            "telephone_number": "303-805-4497",
            "fax_number": "303-805-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0006971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.