Individual provider Active NPI

Daniel John Barraclough

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1851618839
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5988 Stetson Hills Blvd
Colorado Springs, CO 80923-3567
Phone
(719) 574-3111
Fax
(719) 574-2912
NPI assigned
Apr 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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 Primary

Addresses

Primary practice location

5988 Stetson Hills Blvd
Colorado Springs, CO 80923-3567

Mailing address

665 Road Runner St
Helena, MT 59602-0566
Phone (719) 574-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120607000300 CO Practitioner - Physical Therapist in Private Practice 0648434472 Reassigns benefits to 1 organization
I20200611002776 MT Practitioner - Physical Therapist in Private Practice 0648434472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Physical TherapyGroup PAC ID 3072815505, 8 clinicians

Practice addresses (Care Compare)

665 Rd Runner St
Helena, MT 59602-0566
Phone (406) 513-1422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Physical Therapy Physical Therapist CurrentSince Jul 20, 2020 Accepting new patients
Phenix Therapies, LLC Physical Therapist CurrentSince Mar 7, 2017 Accepting new patients
Spectrum Mobility Past Accepting new patients

Locations

4003 N Weber St
#6
Colorado Springs, CO 80907

4003 N Weber St
Unit 1
Colorado Springs, CO 80907
Phone (719) 232-1726

1625 Medical Center Pt
Ste 180
Colorado Springs, CO 80907
Phone (719) 344-9497

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.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1851618839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 ROAD RUNNER ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020566",
            "telephone_number": "719-574-3111",
            "fax_number": "719-574-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5988 STETSON HILLS BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233567",
            "telephone_number": "719-574-3111",
            "fax_number": "719-574-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRACLOUGH",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.