Active NPI
Gavyn Eugene Prsha
- Physical Therapist
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0019634
- Practice address
- 4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080 - Phone
- (303) 449-2730
- NPI assigned
- Aug 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2021024889 | MO | |
| Physical Therapist | 225100000X | PTL.0019634 | CO | Primary |
Addresses
Primary practice location
4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Mailing address
4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Other practice location 1
2 Harbor Bend Ct Ste 102
Lake Saint Louis, MO 63367-1480
Phone (636) 695-2070
Other practice location 2
6240 S Main St Ste 230
Aurora, CO 80016-5377
Phone (303) 627-5735
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
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Denver, CO 80246
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0019634 | CO | MD | Physical Therapist |
| 2021024889 | MO | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Multi-Specialty | Current | Accepting new patients |
| Bouldercentre for Orthopedics PC | Multi-Specialty | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Multi-Specialty | Current | Accepting new patients |
| Mountain View Pain Center | Multi-Specialty | Current | Accepting new patients |
| Bouldercentre for Orthopedics | Multi-Specialty | Current | Accepting new patients |
| Colorado Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
6240 S Main St
Ste 230
Aurora, CO 80016
Phone (303) 627-5735
4740 Pearl Pkwy
Ste 200
Boulder, CO 80301
500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790
1185 State Highway 7
Ste 200
Broomfield, CO 80023
501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782
5445 Dtc Pkwy
Ste 1130
Greenwood Village, CO 80111
5920 S Estes St
Ste 220
Littleton, CO 80123
Phone (303) 221-1569
8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100
Interoperability endpoints
- https://api.platform.athenahealth.com/3497/brand/1/csg/21/fhir/r4
Organizations & group practices 7
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 1891461125
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
Multi-Specialty
-
- Orthopaedic Surgery Physician
- Broomfield, CO
- NPI 1780448951
Multi-Specialty
-
- Orthopaedic Surgery Physician
- Boulder, CO
- NPI 1336197631
Multi-Specialty
-
dba Orthopedic Centers of Colorado - Saint Joseph
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
Multi-Specialty
-
dba Lafayette Clinic - Neurology
- Neurology Physician
- Lafayette, CO
- NPI 1962271890
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1831865914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 PEARL PKWY STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 PEARL PKWY STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013080",
"telephone_number": "303-449-2730"
}
],
"practiceLocations": [
{
"address_1": "2 Harbor Bend Ct Ste 102",
"address_purpose": "LOCATION",
"city": "Lake Saint Louis",
"state": "MO",
"postal_code": "633671480",
"country_code": "US",
"telephone_number": "636-695-2070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6240 S Main St Ste 230",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800165377",
"country_code": "US",
"telephone_number": "303-627-5735",
"fax_number": "720-925-5897",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRSHA",
"first_name": "GAVYN",
"middle_name": "EUGENE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-19",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "MO",
"license": "2021024889",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0019634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.