Active NPI
Alex Altenburger, DPT
- Sports Physical Therapist
- Broomfield, CO
National Provider Identifier
1831667179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- Practice address
- 469 State Highway 7
Broomfield, CO 80023-8965 - Phone
- (720) 777-9622
- NPI assigned
- Nov 5, 2018
- Last updated
- Nov 5, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | PTL.0014750 | CO | |
| Sports Physical Therapist | 2251S0007X | NU | Primary |
Addresses
Primary practice location
469 State Highway 7
Broomfield, CO 80023-8965
Mailing address
12447 W Arkansas Ave
Lakewood, CO 80228-3818
Phone (419) 234-2207
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0014750 | CO | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Current | Accepting new patients |
Interoperability endpoints
- aaltenburger97142@direct.childrenscolorado.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1831667179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12447 W ARKANSAS AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802283818",
"telephone_number": "419-234-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 STATE HIGHWAY 7",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800238965",
"telephone_number": "720-777-9622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTENBURGER",
"first_name": "ALEX",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-05",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "CO",
"license": "PTL.0014750",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
- Alpha Omega Chiropractic, P.C.
- Alpha Rehabilitation, LLC
- Alpine Calm Wellness
- Alpine Growth, LLC (Alpine Growth Wellness)
- Roy Bryan Alston, MFT
- Altitude Physical Therapy & Sports Medicine LLC (Altitude Physical Therapy - Broomfield)
- Christine O Altizer
- Elise Alvarez, MA, R-DMT, LPCC
- Zainab Alzubaidi
- American Current Care P.a. (Concentra Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.