NPIMap

Individual provider Active NPI

Justin Myrick, PT, DPT

  • Physical Therapist
  • Conifer, CO
National Provider Identifier
1811664774
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017890 Issued in CO
Practice address
26367 Conifer Rd Ste a
Conifer, CO 80433-9137
Phone
(303) 838-3900
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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.0017890 CO Primary

Addresses

Primary practice location

26367 Conifer Rd Ste a
Conifer, CO 80433-9137

Mailing address

8651 S Oak Cir Apt 11305
Littleton, CO 80127-5191

Other practice location 1

3355 S Wadsworth Blvd Unit F107
Lakewood, CO 80227-5123
Phone (303) 980-6762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0017890COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. CurrentSince Aug 29, 2021 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Select Physical Therapy Holdings Inc PastSince Aug 29, 2021 Accepting new patients
Theraphysics Partners of Colorado Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Theraphysics Partners of Colorado, Inc. Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Select Physical Therapy of Denver LTD Physical Therapist Past Accepting new patients

Locations

26367 Conifer Rd
Ste A
Conifer, CO 80433
Phone (303) 838-3900

Organizations & group practices 11

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1811664774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8651 S OAK CIR APT 11305",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26367 CONIFER RD STE A",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804339137",
            "telephone_number": "303-838-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 S Wadsworth Blvd Unit F107",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802275123",
            "country_code": "US",
            "telephone_number": "303-980-6762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conifer, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.