Individual provider Active NPI

Michael Herrera, DPT

  • Physical Therapist
  • Golden, CO
National Provider Identifier
1699223115
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018409 Issued in CO
Practice address
393 Washington Ave Unit B
Golden, CO 80403-1889
Phone
(720) 307-7707
Fax
(720) 307-7702
NPI assigned
Sep 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 292072 CA
Physical Therapist 225100000X PTL.0018409 CO Primary

Addresses

Primary practice location

393 Washington Ave Unit B
Golden, CO 80403-1889

Mailing address

393 Washington Ave Unit B
Golden, CO 80403-1889
Phone (720) 307-7707

Other practice location 1

201 N Robertson Blvd
101
Beverly Hills, CA 90211-1729
Phone (424) 303-7647

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190128000922 CA Practitioner - Physical Therapist in Private Practice 7517204662 Reassigns benefits to 1 organization
I20220823001393 CO Practitioner - Physical Therapist in Private Practice 7517204662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physio Pro, IncGroup PAC ID 0941394753, 27 clinicians

Practice addresses (Care Compare)

3801 E Florida Ave
330 Evolution PT
Denver, CO 80210-2571
Phone (303) 370-2670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physio Pro, Inc. Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Panther Physical Therapy, Inc. Physical Therapist CurrentSince Aug 1, 2026 Accepting new patients
Physio Pro, Inc. Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Evolution Physical Therapy, Inc Physical Therapist CurrentSince Jan 30, 2019 Accepting new patients
Physio Pro, Inc. Physical Therapist CurrentSince Aug 1, 2026 Accepting new patients
Next Phase Medical PC PastSince Sep 28, 2025 Accepting new patients

Locations

201 N Robertson Blvd
Ste 101
Beverly Hills, CA 90211
Phone (424) 303-7647

11825 Major St
Ste 107
Los Angeles, CA 90230
Phone (310) 915-6100

322 Culver Blvd
Playa del Rey, CA 90293
Phone (310) 461-8712

3801 E Florida Ave
Ste 330
Denver, CO 80210
Phone (303) 370-2670

393 Washington Ave
Unit B
Golden, CO 80403
Phone (720) 307-7707

5935 S Zang St
Unit 9
Littleton, CO 80127
Phone (303) 979-5511

Organizations & group practices 6

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1699223115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 WASHINGTON AVE UNIT B",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031889",
            "telephone_number": "720-307-7707",
            "fax_number": "720-307-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 WASHINGTON AVE UNIT B",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031889",
            "telephone_number": "720-307-7707",
            "fax_number": "720-307-7702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Robertson Blvd",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111729",
            "country_code": "US",
            "telephone_number": "424-303-7647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-13",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292072",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.