Individual provider Active NPI

Bryan Duran

  • Physical Therapist
  • Golden, CO
National Provider Identifier
1942731708
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0014506 Issued in CO
Practice address
400 Indiana St Ste 280
Golden, CO 80401-5069
Phone
(720) 386-2843
Fax
(720) 328-2653
NPI assigned
Mar 23, 2017
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTL.0014506 CO
Physical Therapist 225100000X PTL.0014506 CO Primary
Physical Therapist 225100000X

Addresses

Primary practice location

400 Indiana St Ste 280
Golden, CO 80401-5069

Mailing address

400 Indiana St Ste 280
Golden, CO 80401-5069
Phone (720) 386-2843

Other practice location 1

16522 Keystone Blvd Ste N
Parker, CO 80134-3302
Phone (303) 840-7325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304002686 CO Practitioner - Physical Therapist in Private Practice 1456767011 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, 2016
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

6795 E Tennessee Ave
Suite 100
Denver, CO 80224-1616
Phone (720) 219-8146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 25, 2022 Accepting new patients
Restore Osteo of Colorado LLC Physical Therapist CurrentSince Apr 18, 2022 Accepting new patients
Enhanced Motion Physical Therapy Physical Therapist Current Accepting new patients
Enhanced Motion Physical Therapy Physical Therapy CurrentSince Aug 21, 2024 Accepting new patients
Restore Osteo of Colorado LLC Physical Therapist CurrentSince Apr 18, 2022 Accepting new patients

Locations

6795 E Tennessee Ave
Ste 100
Denver, CO 80224
Phone (720) 219-8146

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

8015 W Alameda Ave
Lakewood, CO 80226
Phone (303) 232-2929

400 Indiana St
Ste 280
Lakewood, CO 80401
Phone (303) 216-2661

9195 Grant St
Ste 305
Thornton, CO 80229
Phone (303) 216-2661

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1942731708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST STE 280",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015069",
            "telephone_number": "720-386-2843",
            "fax_number": "720-328-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST STE 280",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015069",
            "telephone_number": "720-386-2843",
            "fax_number": "720-328-2653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16522 Keystone Blvd Ste N",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801343302",
            "country_code": "US",
            "telephone_number": "303-840-7325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAN",
        "first_name": "BRYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "PTL.0014506",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014506",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.