Individual provider Active NPI

Deana Gordon, PT, DPT

  • Physical Therapist
  • Westminster, CO
National Provider Identifier
1902494784
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17443 Issued in CO
Practice address
10475 Sheridan Blvd
Westminster, CO 80020-4135
Phone
(303) 409-2133
NPI assigned
Jan 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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 17443 CO Primary

Addresses

Primary practice location

10475 Sheridan Blvd
Westminster, CO 80020-4135

Mailing address

6612 S Ward St
Littleton, CO 80127-4855
Phone (303) 409-2133

Other identifiers 1

IdentifierTypeStateIssuer
PTL0017443OtherCOPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210209000089 CO Practitioner - Physical Therapist in Private Practice 9739594557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Aurora, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2695 Rocky Mountain Ave
Suite 150
Loveland, CO 80538-9071

500 Eldorado Blvd
BLDG 4
Broomfield, CO 80021-3408

PO Box
Suite 2350
Rocklin, CA 95677-8350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17443COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 20, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jun 20, 2023 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jun 20, 2023 Accepting new patients
Uchealth Community Services Physical Therapist CurrentSince May 9, 2022 Accepting new patients
Uchealth Community Services Physical Therapist PastSince Apr 6, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

4404 Barranca Ln
Ste 106
Castle Rock, CO 80104
Phone (720) 733-5280

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

175 Inverness Dr W
Ste 100
Greenwood Village, CO 80112
Phone (303) 964-3333

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 6

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": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1902494784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 S WARD ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274855",
            "telephone_number": "303-409-2133",
            "fax_number": "303-409-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 SHERIDAN BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800204135",
            "telephone_number": "303-409-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DEANA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "17443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PTL0017443",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.