NPIMap

Organization Active NPI

Denver Physical Therapy, P.C.

Doing business as Pro Active Physical Therapy Lakewood

  • Physical Therapist
  • Lakewood, CO
National Provider Identifier
1669534053
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DENVER PHYSICAL THERAPY, P.C.
Doing business as
Pro Active Physical Therapy Lakewood
Practice address
330 S Vance St
Lakewood, CO 80226-3347
Phone
(303) 274-2404
Fax
(303) 274-2406
NPI assigned
Dec 14, 2006
Last updated
May 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Robert PaceNPI 1164643466
Title
Coo
Phone
(213) 804-1712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 8927 CO
Physical Therapist 225100000X 6695 CO
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

330 S Vance St
Lakewood, CO 80226-3347

Mailing address

2600 Dallas Pkwy Ste 290
Frisco, TX 75034-7493
Phone (303) 274-2404

Other names 1

  • Pro Active Physical Therapy Lakewood Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040825000719 CO Part B Supplier - Clinic/Group Practice 1850365792 Receives reassigned benefits from 2 practitioners
Practice locations: Lakewood, CO
O20080911000254 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961316500 Receives reassigned benefits from 90 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Strasburg, CO; Parker, CO; Brighton, CO; Lakewood, CO; Highlands Ranch, CO; Greenwood Village, CO; Englewood, CO; Eaton, CO…

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory
Tax ID family
Denver Physical Therapy PC17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

6840 S University Blvd
Ste 400
Centennial, CO 80122
Phone (303) 771-5120

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1669534053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DALLAS PKWY STE 290",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347493",
            "telephone_number": "303-274-2404",
            "fax_number": "303-274-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S VANCE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263347",
            "telephone_number": "303-274-2404",
            "fax_number": "303-274-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "213-804-1712"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "8927",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6695",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Active Physical Therapy Lakewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.