Active NPI
Deana Gordon, PT, DPT
- Physical Therapist
- Westminster, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17443
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTL0017443 | Other | CO | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17443 | CO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Colorado Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Uchealth Community Services | Physical Therapist | Current | Accepting new patients |
| Uchealth Community Services | Physical Therapist | Past | 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.
-
- Physical Therapist
- Denver, CO
- NPI 1891461125
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Physical Therapist
- Englewood, CO
- NPI 1841740693
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Physical Therapist
- Castle Rock, CO
- NPI 1073147179
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.