Individual provider Active NPI

Ronnie Shane Eskew, P.T.

  • Physical Therapist
  • Commerce City, CO
National Provider Identifier
1649516105
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10125 Issued in CO
Practice address
13635 E 104TH Ave
Ste 700
Commerce City, CO 80022-9584
Phone
(720) 506-5340
Fax
(720) 506-5343
NPI assigned
Jan 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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 10125 CO Primary

Addresses

Primary practice location

13635 E 104TH Ave
Ste 700
Commerce City, CO 80022-9584

Mailing address

13635 E 104TH Ave
Ste 700
Commerce City, CO 80022-9584
Phone (720) 506-5340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150226000472 CO Practitioner - Physical Therapist in Private Practice 1850615444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3 Superior Dr
Suite 225
Superior, CO 80027-8661
Phone (303) 665-2603

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Sep 13, 2021 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

13659 E 104th Ave
Ste 300400
Commerce City, CO 80022
Phone (702) 506-5340

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

3 Superior Dr
Ste 225
Superior, CO 80027
Phone 3036652603106

500 W 144th Ave
Ste 230
Westminster, CO 80023
Phone 3036652603 ext. 223

3455 Lutheran Pkwy
Ste 105
Wheat Ridge, CO 80033
Phone (303) 456-6000

Organizations & group practices 4

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": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1649516105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13635 E 104TH AVE",
            "address_2": "STE 700",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229584",
            "telephone_number": "720-506-5340",
            "fax_number": "720-506-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13635 E 104TH AVE",
            "address_2": "STE 700",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229584",
            "telephone_number": "720-506-5340",
            "fax_number": "720-506-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKEW",
        "first_name": "RONNIE",
        "middle_name": "SHANE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-02",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.