Organization Active NPI

Trailhead Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Highlands Ranch, CO
National Provider Identifier
1447722137
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
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

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Matthew McLean, PT, DPTNPI 1558673400
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)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20190114000195 CO Part B Supplier - Clinic/Group Practice 5890031819 Receives reassigned benefits from 4 practitioners
Practice locations: Highlands Ranch, CO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.