Active NPI
Theodore Goles, PT, DPT
- Physical Therapist
- Englewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0019474
- Practice address
- 205 W Hampden Ave
Englewood, CO 80110-2401 - Phone
- (303) 789-0772
- NPI assigned
- Nov 7, 2023
- 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 | 0019474 | CO | Primary |
Addresses
Primary practice location
205 W Hampden Ave
Englewood, CO 80110-2401
Mailing address
255 S Cherokee St Apt 2429
Denver, CO 80223-2066
Phone (210) 569-9579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2626 E Colfax Ave
Denver, CO 80206-1412
Phone (303) 832-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019474 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Physical Therapist | Past | Accepting new patients |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Locations
3401 Quebec St
Ste 5005
Denver, CO 80207
Phone (303) 322-4900
700 17th St
Ste 675
Denver, CO 80202
Phone (720) 277-3910
2626 E Colfax Ave
Denver, CO 80206
Phone (303) 382-3700
4045 Pecos St
Ste 140
Denver, CO 80211
Phone (303) 477-5303
32135 Castle Ct
Ste 100A
Evergreen, CO 80439
Phone (303) 325-5329
Organizations & group practices 3
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.
-
- Physical Therapist
- Denver, CO
- NPI 1609558311
-
- Physical Therapy Clinic/Center
- Englewood, CO
- NPI 1265401897
Physical Therapist
-
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1821862228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 S CHEROKEE ST APT 2429",
"city": "DENVER",
"state": "CO",
"postal_code": "802232066",
"telephone_number": "210-569-9579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W HAMPDEN AVE",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801102401",
"telephone_number": "303-789-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLES",
"first_name": "THEODORE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-07",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0019474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.