Individual provider Active NPI

Ian Sanborn, PT, DPT

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1669275848
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0020388 Issued in CO
Practice address
4350 Wadsworth Blvd Ste 425
Wheat Ridge, CO 80033-4652
Phone
(303) 564-5008
NPI assigned
Mar 31, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0020388 CO Primary

Addresses

Primary practice location

4350 Wadsworth Blvd Ste 425
Wheat Ridge, CO 80033-4652

Mailing address

1615 N Pennsylvania St Apt 228
Denver, CO 80203-1978

Other practice location 1

1411 S Potomac St Ste 400
Aurora, CO 80012-4540
Phone (303) 695-6060

Other practice location 2

3451 S Chambers Rd
Aurora, CO 80014-5073
Phone (303) 680-6121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408001828 CO Practitioner - Physical Therapist in Private Practice 3072037340 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

Denver, CO 80246
Phone (866) 525-3175

3451 S Chambers Rd
Aurora, CO 80014-5073
Phone (303) 680-6121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0020388COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
J Medical Inc Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
J Medical Inc CurrentSince Apr 1, 2025 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Physical Therapist CurrentSince Mar 6, 2026 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Physical Therapist CurrentSince Mar 6, 2026 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 19, 2025 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 19, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 19, 2025 Accepting new patients

Locations

12500 E Iliff Ave
Ste 320
Aurora, CO 80014
Phone (303) 862-8853

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

5570 Powers Center Pt
Colorado Springs, CO 80920
Phone (719) 266-6022

3451 S Chambers Rd
Denver, CO 80014
Phone (303) 680-6121

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

5184 S Broadway
Englewood, CO 80113
Phone (720) 327-0865

9101 Pearl St
Ste 350
Thornton, CO 80229
Phone (720) 328-1246

7124 Federal Blvd
Ste 800
Westminster, CO 80030
Phone (720) 502-3670

4350 Wadsworth Blvd
Ste 425
Wheat Ridge, CO 80033
Phone (303) 238-6575

Organizations & group practices 9

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": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669275848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 N PENNSYLVANIA ST APT 228",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 WADSWORTH BLVD STE 425",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334652",
            "telephone_number": "303-564-5008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 S Potomac St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124540",
            "country_code": "US",
            "telephone_number": "303-695-6060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3451 S Chambers Rd",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800145073",
            "country_code": "US",
            "telephone_number": "303-680-6121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANBORN",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-31",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0020388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.