Individual provider Active NPI

Johnathan A Roldan, PT, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1801688833
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020822 Issued in CO
Practice address
200 Quebec St Ste 215
Denver, CO 80230-7144
Phone
(303) 341-0369
Fax
(303) 341-0866
NPI assigned
May 17, 2025
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0020822 CO Primary

Addresses

Primary practice location

200 Quebec St Ste 215
Denver, CO 80230-7144

Mailing address

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

Other practice location 1

2801 Youngfield St Ste 390
Golden, CO 80401-2265
Phone (720) 458-6555

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605002424 CO Practitioner - Physical Therapist in Private Practice 8527578913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reform Health and Rehab, LLCGroup PAC ID 6002240744, 14 clinicians

Practice addresses (Care Compare)

2801 Youngfield St
Suite 390
Golden, CO 80401-2265
Phone (720) 458-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0020822COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reform Health & Rehab, LLC Physical Therapist CurrentSince Jun 4, 2025 Accepting new patients

Locations

3000 Center Green Dr
Ste 110
Boulder, CO 80301
Phone (303) 413-9903

2801 Youngfield St
Ste 390
Golden, CO 80401
Phone (720) 458-6555

2861 W 120th Ave
Ste 120
Westminster, CO 80234
Phone (303) 469-6980

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1801688833",
    "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": "200 QUEBEC ST STE 215",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307144",
            "telephone_number": "303-341-0369",
            "fax_number": "303-341-0866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Youngfield St Ste 390",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804012265",
            "country_code": "US",
            "telephone_number": "720-458-6555",
            "fax_number": "303-274-8063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLDAN",
        "first_name": "JOHNATHAN",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-17",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.