NPIMap

Organization Active NPI

Anchor Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Broomfield, CO
National Provider Identifier
1689756801
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ANCHOR PHYSICAL THERAPY, P.C.
Practice address
590 Burbank St Unit 205
Broomfield, CO 80020-7171
Phone
(303) 460-0329
Fax
(303) 460-0387
NPI assigned
Oct 19, 2006
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Michael D Braden
Title
Practice Administrator
Phone
(303) 460-0329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

590 Burbank St Unit 205
Broomfield, CO 80020-7171

Mailing address

590 Burbank St Unit 205
Broomfield, CO 80020-7171
Phone (303) 460-0329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120820000147 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375455413 Receives reassigned benefits from 3 practitioners
Practice locations: Broomfield, CO

National Provider Directory

National Provider Directory

Locations

320 E 1st Ave
Ste 120
Broomfield, CO 80020
Phone (303) 460-0329

325 Interlocken Pkwy
Ste A100
Broomfield, CO 80021
Phone (303) 460-0329

590 Burbank St
Unit 205
Broomfield, CO 80020
Phone (303) 460-0329

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1689756801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 BURBANK ST UNIT 205",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207171",
            "telephone_number": "303-460-0329",
            "fax_number": "303-460-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 BURBANK ST UNIT 205",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207171",
            "telephone_number": "303-460-0329",
            "fax_number": "303-460-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "BRADEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "303-460-0329"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.