Individual provider Active NPI

Richard A Sadvar, PT MS

  • Physical Therapist
  • Craig, CO
National Provider Identifier
1821144049
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7105 Issued in CO
Practice address
535 Yampa Ave
Suite 200
Craig, CO 81625-2611
Phone
(970) 826-1552
Fax
(970) 826-1553
NPI assigned
Jan 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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 7105 CO Primary

Addresses

Primary practice location

535 Yampa Ave
Suite 200
Craig, CO 81625-2611

Mailing address

535 Yampa Ave
Suite 200
Craig, CO 81625-2611
Phone (970) 826-1552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000368 CO Practitioner - Physical Therapist in Private Practice 2961391347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

360 E Victory Way
Suite B
Craig, CO 81625-1824
Phone (970) 826-1552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7105COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Craig Physical Therapy PC Physical Therapist CurrentSince May 1, 2003 Accepting new patients
Eastern Rio Blanco County Health Service District CurrentSince Jan 9, 2021 Accepting new patients
Eastern Rio Blanco County Health Service District Current Accepting new patients
Eastern Rio Blanco County Health Service District CurrentSince Jan 9, 2021 Accepting new patients
Back Doc Two Inc. Past Accepting new patients

Locations

535 Yampa Ave
Ste 200
Craig, CO 81625
Phone (970) 826-1550

535 Yampa Ave
Craig, CO 81625
Phone (970) 824-5943

595 Breeze St
Ste 200
Craig, CO 81625

360 E Victory Way
Ste B
Craig, CO 81625
Phone (970) 826-1552

100 Pmc Dr
Meeker, CO 81641
Phone (970) 878-4014

Organizations & group practices 5

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": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1821144049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 YAMPA AVE",
            "address_2": "SUITE 200",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252611",
            "telephone_number": "970-826-1552",
            "fax_number": "970-826-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 YAMPA AVE",
            "address_2": "SUITE 200",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252611",
            "telephone_number": "970-826-1552",
            "fax_number": "970-826-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADVAR",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Craig, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.