Individual provider Active NPI

Mitchell Randall Grunwald, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1891666038
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20828 Issued in CO
Practice address
1402 S Parker Rd Ste A116
Denver, CO 80231-2758
Phone
(720) 389-9276
Fax
(720) 746-9346
NPI assigned
Sep 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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 20828 CO Primary

Addresses

Primary practice location

1402 S Parker Rd Ste A116
Denver, CO 80231-2758

Mailing address

1402 S Parker Rd Ste A116
Denver, CO 80231-2758
Phone (720) 389-9276

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104000837 CO Practitioner - Physical Therapist in Private Practice 4587154067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panorama Orthopedics and Spine Center PCGroup PAC ID 8426961087, 316 clinicians

Practice addresses (Care Compare)

1402 S Parker Rd
A116 Rocky Mountain Spine and Sport PT
Denver, CO 80231-2758
Phone (720) 389-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics & Spine Center, PC CurrentSince Sep 15, 2025 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Sep 15, 2025 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients

Locations

1402 S Parker Rd
Ste A116
Denver, CO 80231
Phone (720) 389-9276

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

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": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1891666038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S PARKER RD STE A116",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312758",
            "telephone_number": "720-389-9276",
            "fax_number": "720-746-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S PARKER RD STE A116",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312758",
            "telephone_number": "720-389-9276",
            "fax_number": "720-746-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNWALD",
        "first_name": "MITCHELL",
        "middle_name": "RANDALL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "20828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.