Individual provider Active NPI

Teymur Mirzoyev, DPT, OCS

  • Orthopedic Physical Therapist
  • Lafayette, CO
National Provider Identifier
1376912238
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
15295 Issued in CO
Practice address
297 N US Highway 287 Ste 105
Lafayette, CO 80026-8953
Phone
(718) 839-4542
NPI assigned
Sep 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 038707-1 NY
Orthopedic Physical Therapist 2251X0800X 15295 CO Primary

Addresses

Primary practice location

297 N US Highway 287 Ste 105
Lafayette, CO 80026-8953

Mailing address

297 N US Highway 287 Ste 105
Lafayette, CO 80026-8953
Phone (718) 839-4542

Other practice location 1

2279 Coney Island Ave
2b
Brooklyn, NY 11223-3337
Phone (718) 998-9890 ext. 221

Other practice location 2

8510 Bryant St Ste 130
Westminster, CO 80031-3845
Phone (720) 497-6666 ext. 221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190719002921 CO Practitioner - Physical Therapist in Private Practice 1456649938 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

Denver, CO 80246
Phone (866) 525-3175

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

297 N US Hwy 287
Suite 105
Lafayette, CO 80026-8953
Phone (718) 839-4542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038707-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics & Spine Center, PC CurrentSince Jul 1, 2019 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Boulder Community Health CurrentSince Apr 24, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 1, 2021 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 1, 2021 Accepting new patients
Boulder Community Health CurrentSince Apr 24, 2023 Accepting new patients
Wings Physical Therapy Company LLC Physical Therapist CurrentSince Jan 20, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Jul 1, 2019 Accepting new patients
Boulder Community Health Current Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 14, 2021 Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

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

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

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

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

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

506 W Baseline Rd
Ste A
Lafayette, CO 80026
Phone (718) 839-4542

506 W Baseline Rd
Lafayette, CO 80026
Phone (303) 666-7685

297 N US Highway 287
Ste 105
Lafayette, CO 80026
Phone (303) 926-9199

8510 Bryant St
Ste 130
Westminster, CO 80031
Phone (303) 428-4646

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 12

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": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1376912238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 N US HIGHWAY 287 STE 105",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268953",
            "telephone_number": "718-839-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 N US HIGHWAY 287 STE 105",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268953",
            "telephone_number": "718-839-4542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2279 Coney Island Ave",
            "address_2": "2b",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112233337",
            "country_code": "US",
            "telephone_number": "718-998-9890 x221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8510 Bryant St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800313845",
            "country_code": "US",
            "telephone_number": "720-497-6666 x221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZOYEV",
        "first_name": "TEYMUR",
        "name_prefix": "Mr.",
        "credential": "DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-22",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038707-1",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "15295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.