Individual provider Active NPI

Todd O'Mara, PT

  • Physical Therapist
  • Castle Pines, CO
National Provider Identifier
1902016983
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6907 Issued in CO
Practice address
7280 Lagae Rd
Castle Pines, CO 80108-9452
Phone
(205) 259-3991
Fax
(205) 876-8063
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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 6907 CO Primary

Addresses

Primary practice location

7280 Lagae Rd
Castle Pines, CO 80108-9452

Mailing address

7280 Lagae Rd
Castle Pines, CO 80108-9452
Phone (303) 660-5349

Other identifiers 1

IdentifierTypeStateIssuer
102255331OtherOWCP FACILITY ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110411000251 CO Practitioner - Physical Therapist in Private Practice 2466636808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denver Physical Therapy, P.C.Group PAC ID 2961316500, 61 clinicians

Practice addresses (Care Compare)

7280 Lagae Rd
Suite Eandf
Castle Pines, CO 80108-9452
Phone (720) 650-5430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy & Sports Training, LLC CurrentSince Jun 1, 2023 Accepting new patients
Peak Performance Physical Therapy & Sports Training, LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Peak Performance Physical Therapy & Sports Training, LLC Past Accepting new patients

Locations

1302 S Chambers Rd
Aurora, CO 80017
Phone (303) 521-3155

7280 Lagae Rd
Ste Ef
Castle Pines, CO 80108
Phone (720) 523-8460

7280 Lagae Rd
Ste E
Castle Pines, CO 80108
Phone (303) 221-7272

3911 Ambrosia St
Ste 102
Castle Rock, CO 80109
Phone (303) 870-8242

12482 W Ken Caryl Ave
Unit A4
Littleton, CO 80127
Phone (303) 870-8242

Organizations & group practices 4

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1902016983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 LAGAE RD",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089452",
            "telephone_number": "303-660-5349",
            "fax_number": "303-663-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 LAGAE RD",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089452",
            "telephone_number": "205-259-3991",
            "fax_number": "205-876-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "TODD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP FACILITY ID",
            "identifier": "102255331",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Pines, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.