Individual provider Active NPI

Konrad John Weatherhogg, LLB, BSC, SRP, MCSP

  • Orthopedic Physical Therapist
  • Greeley, CO
National Provider Identifier
1487737292
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
10511 Issued in NC
Practice address
6767 29TH St FL 1
Greeley, CO 80634-5474
Phone
(970) 652-2477
Fax
(970) 652-2777
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0014640 CO
Orthopedic Physical Therapist 2251X0800X 10511 NC Primary

Addresses

Primary practice location

6767 29TH St FL 1
Greeley, CO 80634-5474

Mailing address

6767 29TH St FL 1
Greeley, CO 80634-5474
Phone (970) 652-2477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602000031 CO Practitioner - Physical Therapist in Private Practice 6709864200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1605 Foxtrail Dr
Unit 100
Loveland, CO 80538-9361
Phone (970) 495-0506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7334MNMDChiropractor
PTL.0014640COMDPhysical Therapist
2866NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 26, 2023 Accepting new patients
Mountain Center Physical Therapy & Sports Rehab Inc Physical Therapist Past Accepting new patients
Cioffredi & Associates Physical Therapy, LLC Physical Therapist PastSince May 1, 2008 Accepting new patients
Therapy Partners Inc Physical Therapist Past Accepting new patients
Dynamic Physical Therapy & Sports Performance LLC Physical Therapist PastSince Dec 15, 2003 Accepting new patients
Merz, Inc. Physical Therapist PastSince Aug 24, 2015 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2315 E Harmony Rd
Ste 170
Fort Collins, CO 80528
Phone (970) 495-8450

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

6767 29th St
Fl 1
Greeley, CO 80634
Phone (970) 652-2477

2500 Rocky Mountain Ave
Ste 2300
Loveland, CO 80538
Phone (970) 203-7150

1605 Foxtrail Dr
Loveland, CO 80538
Phone (970) 460-0066

1605 Foxtrail Dr
Unit 100
Loveland, CO 80538
Phone (970) 674-6514

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1455 Main St
Ste 160
Windsor, CO 80550
Phone (970) 674-6514

Organizations & group practices 7

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1487737292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 29TH ST FL 1",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345474",
            "telephone_number": "970-652-2477",
            "fax_number": "970-652-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 29TH ST FL 1",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345474",
            "telephone_number": "970-652-2477",
            "fax_number": "970-652-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERHOGG",
        "first_name": "KONRAD",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LLB, BSC, SRP, MCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014640",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "10511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.