Individual provider Active NPI

Eric Russell Batykefer

  • Physical Therapist
  • Golden, CO
National Provider Identifier
1558051979
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019079 Issued in CO
Practice address
660 Golden Ridge Rd Ste 130
Golden, CO 80401-9541
Phone
(303) 275-2190
Fax
(720) 497-6767
NPI assigned
May 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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.0019079 CO Primary

Addresses

Primary practice location

660 Golden Ridge Rd Ste 130
Golden, CO 80401-9541

Mailing address

660 Golden Ridge Rd Ste 130
Golden, CO 80401-9541
Phone (303) 275-2190

Other practice location 1

10345 Parkglenn Way Ste 220
Parker, CO 80138-3869
Phone (303) 840-9202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240729002485 GA Practitioner - Physical Therapist in Private Practice 3375902778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Rehabilitation Services, LLCGroup PAC ID 2769467034, 20 clinicians

Practice addresses (Care Compare)

415 Town Park Blvd
Evans, GA 30809-3487
Phone (706) 868-1707

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
96.09
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Rehabilitation Services, LLC Physical Therapist CurrentSince Jul 11, 2024 Accepting new patients

Locations

2115 Windsor Spring Rd
Ste 23
Augusta, GA 30906
Phone (706) 793-6211

123 Harmony Xing
#5
Eatonton, GA 31024
Phone (706) 454-1811

415 Town Park Blvd
Evans, GA 30809
Phone (706) 690-4372

1001 Village Park Dr
Ste 105
Greensboro, GA 30642
Phone (706) 454-2000

5003 Steiner Way
Ste 2
Grovetown, GA 30813

150 Main St
Thomson, GA 30824
Phone (706) 595-1090

Organizations & group practices 1

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1558051979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 130",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-275-2190",
            "fax_number": "720-497-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 130",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-275-2190",
            "fax_number": "720-497-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10345 Parkglenn Way Ste 220",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801383869",
            "country_code": "US",
            "telephone_number": "303-840-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATYKEFER",
        "first_name": "ERIC",
        "middle_name": "RUSSELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.