Individual provider Active NPI

Joshua Phalen

  • Physical Therapist
  • Thornton, CO
National Provider Identifier
1619575628
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0018762 Issued in CO
Practice address
9351 Grant St Ste 430
Thornton, CO 80229-4365
Phone
(708) 642-5096
NPI assigned
Oct 12, 2020
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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
Physical Therapist 225100000X 0018762 CO Primary

Addresses

Primary practice location

9351 Grant St Ste 430
Thornton, CO 80229-4365

Mailing address

10939 Bryant Rd
Mokena, IL 60448-1110
Phone (708) 642-5096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201015001329 SC Practitioner - Physical Therapist in Private Practice 6507286457 Reassigns benefits to 2 organizations
I20230718002231 WA Practitioner - Physical Therapist in Private Practice 6507286457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0018762COMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Oct 12, 2020 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Nov 14, 2021 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Nov 14, 2021 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Oct 12, 2020 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
MVP Physical Therapy, LLC Physical Therapist PastSince Jun 5, 2018 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership PastSince Aug 18, 2019 Accepting new patients
Theraphysics Partners of Colorado, Inc. PastSince Aug 1, 2018 Accepting new patients
Physiotherapy Associates Inc PastSince Jan 22, 2023 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Select Physical Therapy of West Denver Limited Partnership Past Accepting new patients
Physiotherapy Associates Inc PastSince Jan 22, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

10 William Pope Dr
Ste 5
Bluffton, SC 29909
Phone (843) 705-9440

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1619575628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10939 BRYANT RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481110",
            "telephone_number": "708-642-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 GRANT ST STE 430",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294365",
            "telephone_number": "708-642-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHALEN",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0018762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.