Active NPI
Meromed Physiotherapy Centre, LLC
- Acupuncturist
- Highlands Ranch, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 978
- Legal business name
- MEROMED PHYSIOTHERAPY CENTRE, LLC
- Practice address
- 8955 Ridgeline Blvd Ste 400
Highlands Ranch, CO 80129-2355 - Phone
- (303) 683-8338
- Fax
- (303) 683-8809
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Indra S Oetomo, PT, LAC
- Title
- Clinical Director
- Phone
- (303) 683-8338
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 978 | CO | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 3579 | CO |
Addresses
Primary practice location
8955 Ridgeline Blvd Ste 400
Highlands Ranch, CO 80129-2355
Mailing address
8955 Ridgeline Blvd Ste 400
Highlands Ranch, CO 80129-2355
Phone (303) 683-8338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
- Hilo, HI
- NPI 1841402914
Member Of
Locations
8955 Ridgeline Blvd
Ste 400
Highlands Ranch, CO 80129
Phone (303) 683-8338
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Highlands Ranch, CO
- NPI 1326005745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1902983950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8955 RIDGELINE BLVD STE 400",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292355",
"telephone_number": "303-683-8338",
"fax_number": "303-683-8809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8955 RIDGELINE BLVD STE 400",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292355",
"telephone_number": "303-683-8338",
"fax_number": "303-683-8809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEROMED PHYSIOTHERAPY CENTRE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "OETOMO",
"authorized_official_first_name": "INDRA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "303-683-8338",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT, LAC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CO",
"license": "978",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "3579",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.