Individual provider Active NPI

Dylan Clifford, PT

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1689406076
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020063 Issued in CO
Practice address
210 W Magnolia St Ste 110
Fort Collins, CO 80521-2915
Phone
(970) 221-1201
Fax
(800) 675-0273
NPI assigned
Aug 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 PTL.0020063 CO Primary

Addresses

Primary practice location

210 W Magnolia St Ste 110
Fort Collins, CO 80521-2915

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240913000399 CO Practitioner - Physical Therapist in Private Practice 8820538119 Reassigns benefits to 1 organization

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 in Motion LLCGroup PAC ID 9931515483, 41 clinicians

Practice addresses (Care Compare)

210 W Magnolia St
Suite 110
Fort Collins, CO 80521-2915
Phone (970) 221-1201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0020063COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado in Motion LLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Colorado Physical Therapy Specialists PLLC Physical Therapist Past Accepting new patients
Harmony Hand & Physical Therapy Center, Inc Past Accepting new patients

Locations

210 W Magnolia St
Ste 110
Fort Collins, CO 80521

115 E Harmony Rd
Ste 160
Fort Collins, CO 80525
Phone (630) 881-1560

331 Hickory St
Ste 130
Fort Collins, CO 80524

1901 56th Ave
Ste 100
Greeley, CO 80634
Phone (970) 451-5776

4435 Ronald Reagan Blvd
Loveland, CO 80534
Phone (970) 619-8139

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

Organizations & group practices 3

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": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1689406076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MAGNOLIA ST STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212915",
            "telephone_number": "970-221-1201",
            "fax_number": "800-675-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "DYLAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.