NPIMap

Organization Active NPI

Colorado Athletic Conditioning Clinic Lowry Professional LLC

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1720973597
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COLORADO ATHLETIC CONDITIONING CLINIC LOWRY PROFESSIONAL LLC
Practice address
1202 E Fillmore St
Colorado Springs, CO 80907-6402
Phone
(719) 895-1722
Fax
(719) 895-1723
NPI assigned
Jun 11, 2025
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Melanie Redfern Cataldo
Title
Credentialing Specialist
Phone
(412) 567-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1202 E Fillmore St
Colorado Springs, CO 80907-6402

Mailing address

PO Box 392977
Pittsburgh, PA 15251-9977
Phone (412) 567-2400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060105000571 CO Part B Supplier - Clinic/Group Practice 0648293605 Receives reassigned benefits from 47 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lone Tree, CO; Parker, CO; Lakewood, CO; Englewood, CO; Denver, CO; Commerce City, CO; Colorado Springs, CO; Aurora, CO…

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cacc Lowry SE9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1202 E Fillmore St
Colorado Springs, CO 80907
Phone (719) 895-1722

8101 E Lowry Blvd
Ste 200
Denver, CO 80230
Phone (303) 341-0369

8101 E Lowry Blvd
Ste 220
Denver, CO 80230
Phone (303) 214-4556

11960 Lioness Way
Ste 280
Parker, CO 80134
Phone (303) 790-7877

Practitioners & affiliated clinicians

Practitioners 62

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.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1720973597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392977",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519977",
            "telephone_number": "412-567-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076402",
            "telephone_number": "719-895-1722",
            "fax_number": "719-895-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ATHLETIC CONDITIONING CLINIC LOWRY PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "REDFERN CATALDO",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "412-567-2400"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "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 Jun 11, 2025; 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.