Active NPI
Adam Goltra, DPT
- Physical Therapist
- Castle Rock, CO
National Provider Identifier
1760934822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0014231
- Practice address
- 725 Wilcox St
Castle Rock, CO 80104-1740 - Phone
- (720) 457-5535
- Fax
- (720) 457-5535
- NPI assigned
- Oct 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0014231 | CO | Primary |
Addresses
Primary practice location
725 Wilcox St
Castle Rock, CO 80104-1740
Mailing address
725 Wilcox St
Castle Rock, CO 80104-1740
Phone (720) 457-5535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 E Hallandale Beach Blvd
Suite 400
Hallandale Beach, FL 33009-3772
Phone (786) 763-2272
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Building Bones and Balance, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1835 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 224-2191
2100 E Hallandale Beach Blvd
Ste 400
Hallandale Beach, FL 33009
Phone (786) 763-2272
Organizations & group practices 1
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": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1760934822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WILCOX ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041740",
"telephone_number": "720-457-5535",
"fax_number": "720-457-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WILCOX ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041740",
"telephone_number": "720-457-5535",
"fax_number": "720-457-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLTRA",
"first_name": "ADAM",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-25",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0014231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.