Robert Adams, PT, DPT
Individual provider Active NPI Physical Therapist · Broomfield, CO
NPI 1740829779 · NPPES record last updated Dec 20, 2019
Key facts
- NPI
- 1740829779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTL.0016750 (CO)
- Practice address
- 13606 Xavier LN
Broomfield, CO 80023-3604 - Phone
- (303) 404-9494
- NPI assigned
- Dec 20, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200217004603 | CO | Practitioner - Physical Therapist in Private Practice | 9133556970 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mend PLLC | Physical Therapist | Current |
Accepting new patients |
| Physical Therapy of Boulder | Physical Therapist | Current |
Accepting new patients |
Locations
3020 Carbon Pl
Ste 330
Boulder, CO 80301
Phone (303) 938-1141
2760 29th St
Ste 1B
Boulder, CO 80301
Phone (720) 772-6780
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0016750 | CO | Yes |
Addresses
Primary practice location
13606 Xavier LN
Broomfield, CO 80023-3604
Mailing address
4901 W 93Rd Ave Apt 2324
Westminster, CO 80031-6336
Other providers in Broomfield, CO
- Action Behavior Centers Therapy LLC
- Action Behavior Centers Therapy LLC
- Action Behavior Centers, LLC
- Action Behavior Centers, LLC
- Action Behavior Centers, LLC
- Adara Home Healthcare LLC
- Michael Ademola Adeshewo
- Admirable Therapies LLC
- Bridget Admire
- Advanced Urgent Care LLC
All providers in Broomfield, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2019. 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.