Colorado Athletic Conditioning Clinic Lowry Professional LLC
Organization Active NPI Specialist · Denver, CO
NPI 1720162084 · NPPES record last updated Nov 11, 2025
Key facts
- NPI
- 1720162084
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- COLORADO ATHLETIC CONDITIONING CLINIC LOWRY PROFESSIONAL LLC
- Practice address
- 200 Quebec St Ste 215
Denver, CO 80230-7144 - Phone
- (303) 341-0369
- Fax
- (303) 341-0866
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Melanie Redfern Cataldo
- Title
- Credentialing Specialist
- Phone
- (412) 567-2400
Other NPIs on the same Medicare enrollment 8
Corporate family (same tax ID) 8
Practitioners 60
-
Madeline Elaine Abbs, DPT
-
Sean Anderson, DPT
-
Brigette Caruthers, PT, DPT
-
Madelyn Marie Dow, DPT
-
Alexandra T Fields, DPT
-
Jacob Franklin, DPT
-
Brandon Thomas Gray, DPT
-
Savannah Green, PT
-
Nicholas Harris, DPT
-
Tyler Harry, PT, DPT
-
Rush Davis Hendricks, DPT
-
Kayla McLain, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060105000571 | CO | Part B Supplier - Clinic/Group Practice | 0648293605 |
Receives reassigned benefits from 47 practitioners 8 other NPIs on this enrollment Practice locations: Lone Tree, CO; Parker, CO; Lakewood, CO; Englewood, CO; Denver, CO; Commerce City, CO; Colorado Springs, CO; Aurora, CO… |
National Provider Directory
- Tax ID family
- Colorado Athletic Conditioning Clinic Lowry Professional LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
200 Quebec St Ste 215
Denver, CO 80230-7144
Mailing address
PO Box 392977
Pittsburgh, PA 15251-9977
Phone (724) 343-4060
Other names
- CACC - Lowry
- Colorado Athletic Conditioning Clinic Lowry
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Other providers in Denver, CO
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- Colorado Assessment and Treatment Center
- Colorado Assessment and Treatment Center Inc
- Colorado Auto Accident and Injury Centers LLC
- Colorado Bariatric Surgery Institute Inc
- Colorado Behavior LLC
- Colorado Cab Company, LLC
- Colorado Cardiovascular Surgical Associates,Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.