NPIMap

Organization Active NPI

TFL Provider Network LLC

  • Orthopedic Physical Therapist
  • Highlands Ranch, CO
National Provider Identifier
1417469701
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
TFL PROVIDER NETWORK LLC
Practice address
3996 Red Cedar Dr Unit A6
Highlands Ranch, CO 80126-8066
Phone
(303) 800-2829
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Authorized official

Name
Dr. William Gregoire, PT, DPTNPI 1174773139
Title
Owner
Phone
(303) 800-2829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251N0400X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

3996 Red Cedar Dr Unit A6
Highlands Ranch, CO 80126-8066

Mailing address

3996 Red Cedar Dr Unit A6
Highlands Ranch, CO 80126-8066
Phone (303) 800-2829

Other practice location 1

4697 E Evans Ave
Denver, CO 80222-5136
Phone (303) 800-2829

Other names 1

  • The Fitness Lab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171213000137 CO Part B Supplier - Clinic/Group Practice 8820356256 Receives reassigned benefits from 32 practitioners
Practice locations: Parker, CO; Highlands Ranch, CO; Evergreen, CO; Denver, CO; Greenwood Village, CO

National Provider Directory

National Provider Directory
Tax ID family
TFL Provider Network LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4697 E Evans Ave
Denver, CO 80222
Phone (303) 800-2829

6900 E Layton Ave
Denver, CO 80237
Phone (303) 800-2829

5295 Dtc Pkwy
Ste 202
Greenwood Village, CO 80111
Phone (303) 800-2829

3996 Red Cedar Dr
Unit A6
Highlands Ranch, CO 80126
Phone (303) 800-2829

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1417469701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3996 RED CEDAR DR UNIT A6",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268066",
            "telephone_number": "303-800-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3996 RED CEDAR DR UNIT A6",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268066",
            "telephone_number": "303-800-2829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4697 E Evans Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802225136",
            "country_code": "US",
            "telephone_number": "303-800-2829",
            "fax_number": "720-408-0320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TFL PROVIDER NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "GREGOIRE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-800-2829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Fitness Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.