Individual provider Active NPI

Daven Valdez, DPT

  • Physical Therapist
  • Durango, CO
National Provider Identifier
1427637453
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017547 Issued in CO
Practice address
575 Rivergate Unit 97
Durango, CO 81301-7490
Phone
(970) 259-0574
Fax
(970) 259-0576
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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 PTL.0017547 CO Primary

Addresses

Primary practice location

575 Rivergate Unit 97
Durango, CO 81301-7490

Mailing address

611 E Star CT Ste B
Montrose, CO 81401-6704
Phone (970) 249-1646

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526001877 CO Practitioner - Physical Therapist in Private Practice 0143629022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tomsic Physical Therapy IncGroup PAC ID 5698733145, 7 clinicians

Practice addresses (Care Compare)

575 Rivergate
Unit 97
Durango, CO 81301-7490
Phone (970) 259-0574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0017547COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In Motion Hand Therapy Inc Physical Therapist CurrentSince May 15, 2021 Accepting new patients
Tomsic Physical Therapy, Inc. Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Montrose Memorial Hospital, Inc PastSince Apr 1, 2021 Accepting new patients

Locations

575 Rivergate Ln
Unit 97
Durango, CO 81301
Phone (970) 259-0574

611 East Star Ct
Ste B
Montrose, CO 81401
Phone (970) 249-1646

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1427637453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E STAR CT STE B",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016704",
            "telephone_number": "970-249-1646",
            "fax_number": "970-249-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE UNIT 97",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017490",
            "telephone_number": "970-259-0574",
            "fax_number": "970-259-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "DAVEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.