Individual provider Active NPI

Patty Bomarito, PT, DPT

  • Physical Therapist
  • Englewood, CO
National Provider Identifier
1619529773
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0016497 Issued in CO
Practice address
601 E Hampden Ave Ste 465
Englewood, CO 80113-2797
Phone
(303) 788-4818
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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.0016497 CO Primary

Addresses

Primary practice location

601 E Hampden Ave Ste 465
Englewood, CO 80113-2797

Mailing address

PO Box 150794
Lakewood, CO 80215-0794

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200413002124 CO Practitioner - Physical Therapist in Private Practice 4082044185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Physical Therapy of Colorado PCGroup PAC ID 4183690290, 4 clinicians

Practice addresses (Care Compare)

9200 W Cross Dr
Suite 520
Littleton, CO 80123-0761
Phone (303) 904-8133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Physical Therapy of Colorado PC Physical Therapist CurrentSince Aug 18, 2021 Accepting new patients
Foot Tracks Physical Therapist PastSince Sep 18, 2018 Accepting new patients

Locations

9200 W Cross Dr
Ste 520
Littleton, CO 80123
Phone (303) 904-8133

Organizations & group practices 2

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1619529773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150794",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802150794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE STE 465",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132797",
            "telephone_number": "303-788-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMARITO",
        "first_name": "PATTY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.