Nikolai Goodyear, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP010362T Issued in CO

Practice address

14190 Orchard Pkwy Ste 250
Westminster, CO 80023-9708

Phone

(720) 497-6666

Fax

(720) 497-6777

NPI assigned

Mar 30, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vail-Summit Orthopaedics PCGroup PAC ID 4688564461, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGBIAD

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.

• Vail-Summit Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Frisco, CO
  • NPI 1972691400
  Medicare reassignment Care Compare group NPD
• Panorama Orthopedics & Spine Center, PC

  • Physical Therapy Clinic/Center
  • Westminster, CO
  • NPI 1699397794
  NPD
• Vail-Summit Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Crested Butte, CO
  • NPI 1023681707
  NPD
• Vail-Summit Orthopaedics PC

  • Prosthetic/Orthotic Supplier
  • Vail, CO
  • NPI 1801091046
  NPD

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1457091282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14190 ORCHARD PKWY STE 250",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239708",
            "telephone_number": "720-497-6666",
            "fax_number": "720-497-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14190 ORCHARD PKWY STE 250",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239708",
            "telephone_number": "720-497-6666",
            "fax_number": "720-497-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 W Colt Square Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727032813",
            "country_code": "US",
            "telephone_number": "184-047-9463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1991 Fordham Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043774",
            "country_code": "US",
            "telephone_number": "910-484-4653",
            "fax_number": "910-483-9256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODYEAR",
        "first_name": "NIKOLAI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4804",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P-CP011162T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP010362T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thalia Gonzalez, RBT
• Vanessa Gonzalez
• Luann Good-Decurnou, OTR, CHT
• Lynn Goodeill, MA, LPCC
• Melissa Ann Goodpaster, DDS
• Sarah M Goone, NP-C
• Alexandra Marie Gordon, DPT
• Deana Gordon, PT, DPT
• Eric R Gordon, CERTIFIED ROLFER
• John David Gordon, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.