Organization Active NPI

Meromed Physiotherapy Centre, LLC

  • Acupuncturist
  • Highlands Ranch, CO
National Provider Identifier
1902983950
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
978 Issued in CO
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

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Indra S Oetomo, PT, LACNPI 1326005745
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)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 978 CO Primary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20110616000144 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628968872 Receives reassigned benefits from 1 practitioner
Practice locations: Highlands Ranch, CO

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.