Geordan Nunes, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0018578 Issued in CO

Practice address

205 S Main St Ste C
Longmont, CO 80501-1714

Phone

(860) 989-1256

NPI assigned

Oct 5, 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

Altitude Physical Therapy and Sports Medicine LLCGroup PAC ID 8628050267, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Altitude Physical Therapy & Sports Medicine LLC

  dba Altitude Physical Therapy - Wheat Ridge

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1548218241

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Altitude Physical Therapy & Sports Medicine LLC

  dba Altitude Physical Therapy - Longmont

  • Physical Therapy Clinic/Center
  • Longmont, CO
  • NPI 1235729567
  NPD (past)

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1407571219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 VANCE ST APT 1132",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800217011",
            "telephone_number": "860-989-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST STE C",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011714",
            "telephone_number": "860-989-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNES",
        "first_name": "GEORDAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel H Norton, PA
• Robert Vincent Nouhan, MD
• Allison Rita Novak, MS, LPC
• Natalie Novelli
• NRS Arizona, PA
• Aglaury Nunez Morales, MS
• Pamela Nunez
• Nutrition Dynamix, LLC
• Cameron Richard Nyman, D.C
• Trinity Nyx, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.