Individual provider Active NPI

Johnathon Crawley, PT, DPT

  • Sports Physical Therapist
  • Denver, CO
National Provider Identifier
1629707641
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
0018390 Issued in CO
Practice address
3448 Brighton Blvd
Denver, CO 80216-5023
Phone
(303) 800-2829
Fax
(720) 408-0320
NPI assigned
Jun 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 0018390 CO Primary

Addresses

Primary practice location

3448 Brighton Blvd
Denver, CO 80216-5023

Mailing address

3996 Red Cedar Dr Unit A6
Highlands Ranch, CO 80126-8066
Phone (303) 800-2829

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL fit@fitnesslabco.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712000026 CO Practitioner - Physical Therapist in Private Practice 2264812973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mend PLLCGroup PAC ID 4284945791, 11 clinicians

Practice addresses (Care Compare)

2760 29TH St
Suite 1B
Boulder, CO 80301-1221
Phone (720) 772-6780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0018390COMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TFL Provider Network LLC Sports CurrentSince Jul 12, 2022 Accepting new patients
Mend PLLC Sports CurrentSince Jun 21, 2023 Accepting new patients

Locations

2760 29th St
Ste 1B
Boulder, CO 80301
Phone (720) 772-6780

3448 Brighton Blvd
Denver, CO 80216
Phone (303) 285-2623

5295 Dtc Pkwy
Ste 202
Greenwood Village, CO 80111
Phone (303) 800-2829

3996 Red Cedar Dr
Unit A6
Highlands Ranch, CO 80126
Phone (303) 800-2829

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1629707641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3996 RED CEDAR DR UNIT A6",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268066",
            "telephone_number": "303-800-2829",
            "fax_number": "720-408-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 BRIGHTON BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802165023",
            "telephone_number": "303-800-2829",
            "fax_number": "720-408-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWLEY",
        "first_name": "JOHNATHON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "0018390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fit@fitnesslabco.com",
            "affiliation": "N",
            "address_1": "3448 Brighton Blvd",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802165023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.