NPIMap

Organization Active NPI

The Physioroom, LLC

Doing business as The Physioroom

  • Orthopedic Physical Therapist
  • Highlands Ranch, CO
National Provider Identifier
1841786233
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0011346 Issued in CO
Legal business name
THE PHYSIOROOM, LLC
Doing business as
The Physioroom
Practice address
8925 Ridgeline Blvd Ste 102
Highlands Ranch, CO 80129-2354
Phone
(720) 560-5326
Fax
(720) 294-0332
NPI assigned
Jul 9, 2018
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher Wayne Robl, PT, DPTNPI 1366703480
Title
Present/Ceo
Phone
(720) 560-5326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 0011346 CO Primary

Addresses

Primary practice location

8925 Ridgeline Blvd Ste 102
Highlands Ranch, CO 80129-2354

Mailing address

PO Box 21150
Boulder, CO 80308-4150
Phone (303) 546-9158

Other names 2

  • The Physioroom Doing business as
  • Physioroom LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181004000283 CO Part B Supplier - Clinic/Group Practice 0941552863 Receives reassigned benefits from 13 practitioners
4 other NPIs on this enrollment
Practice locations: Colorado Springs, CO; Denver, CO; Highlands Ranch, CO; Littleton, CO

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Physioroom LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5058 S Syracuse St
Denver, CO 80237
Phone (720) 316-9974

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1841786233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-546-9158",
            "fax_number": "303-546-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 RIDGELINE BLVD STE 102",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292354",
            "telephone_number": "720-560-5326",
            "fax_number": "720-294-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHYSIOROOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "ROBL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESENT/CEO",
        "authorized_official_telephone_number": "720-560-5326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "0011346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Physioroom",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physioroom LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.