Active NPI
Trailhead Physical Therapy LLC
- Orthopedic Physical Therapist
- Highlands Ranch, CO
National Provider Identifier
1447722137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- TRAILHEAD PHYSICAL THERAPY LLC
- Practice address
- 9150 Commerce Center Cir Ste 200
Highlands Ranch, CO 80129-1562 - Phone
- (303) 325-2653
- NPI assigned
- Dec 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew McLean, PT, DPT
- Title
- Physical Therapist
- Phone
- (303) 325-2653
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
9150 Commerce Center Cir Ste 200
Highlands Ranch, CO 80129-1562
Mailing address
9150 Commerce Center Cir Ste 200
Highlands Ranch, CO 80129-1562
Phone (303) 325-2653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9150 Commerce Center Cir
Ste 200
Highlands Ranch, CO 80129
Phone (303) 325-2653
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Highlands Ranch, CO
- NPI 1558673400
-
- Physical Therapist
- Gypsum, CO
- NPI 1265242895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617062400000",
"number": "1447722137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 COMMERCE CENTER CIR STE 200",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801291562",
"telephone_number": "303-325-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 COMMERCE CENTER CIR STE 200",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801291562",
"telephone_number": "303-325-2653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAILHEAD PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-19",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A",
"authorized_official_last_name": "MCLEAN",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "303-325-2653",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 30, 2021; 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.