Individual provider Active NPI

Asa Montana Shaffer, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1679953780
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
20742 Issued in CO
Practice address
3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630
Phone
(719) 265-6601
Fax
(719) 265-6649
NPI assigned
Jun 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 2015027142 MO
Orthopedic Physical Therapist 2251X0800X 20742 CO Primary

Addresses

Primary practice location

3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630

Mailing address

3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630
Phone (719) 265-6601

Other practice location 1

509 S Broadway
Oak Grove, MO 64075-9627
Phone (816) 625-4967

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150903002966 MO Practitioner - Physical Therapist in Private Practice 2860708963 Reassigns benefits to 1 organization
I20251031001410 CO Practitioner - Physical Therapist in Private Practice 2860708963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20742COMDInternal Medicine Physician
2015027142MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Panorama Orthopedics and Spine Center PC CurrentSince Sep 8, 2025 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Sep 8, 2025 Accepting new patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Jul 31, 2015 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist Current Accepting new patients
Serc Rehabilitation Partners, LLC CurrentSince Jul 31, 2015 Accepting new patients

Locations

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

3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 265-6601

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051

109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280

103 SW Eagles Pkwy
Grain Valley, MO 64029
Phone (816) 433-2375

509 S Broadway
Oak Grove, MO 64075
Phone (816) 625-4967

211 N 2nd St
Odessa, MO 64076
Phone (816) 230-3280

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Missouri, Columbia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serc Rebabilitation Partners, LLC 212 clinicians
Panorama Orthopedics and Spine Center PC 316 clinicians

Practice addresses (Care Compare)

103 SW Eagles Pkwy
Serc Grain Valley
Grain Valley, MO 64029-8512
Phone (816) 443-2375

3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630
Phone (719) 265-6601

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1679953780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186630",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186630",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Oak Grove",
            "state": "MO",
            "postal_code": "640759627",
            "country_code": "US",
            "telephone_number": "816-625-4967",
            "fax_number": "816-625-8376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "ASA",
        "middle_name": "MONTANA",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2015027142",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "20742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.