Active NPI
Travis Neuhaus, PT, DPT
- Physical Therapist
- Boulder, CO
National Provider Identifier
1972169498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0017909
- Practice address
- 933 Alpine Ave
Boulder, CO 80304-3305 - Phone
- (303) 444-0378
- NPI assigned
- May 10, 2019
- Sex
- Male
- 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 | PTL.0017909 | CO | Primary |
Addresses
Primary practice location
933 Alpine Ave
Boulder, CO 80304-3305
Mailing address
933 Alpine Ave
Boulder, CO 80304-3305
Phone (303) 444-0378
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
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
933 Alpine Ave
Boulder, CO 80304-3305
Phone (303) 444-0378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0017909 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altitude Physical Therapy & Sports Medicine LLC | Physical Therapist | Current | Accepting new patients |
| Altitude Physical Therapy & Sports Medicine LLC | Past | Accepting new patients |
Locations
933 Alpine Ave
Boulder, CO 80304
Phone (303) 444-0378
275 S Main St
Ste 208
Longmont, CO 80501
Phone (303) 776-3800
Organizations & group practices 2
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 Therapy Clinic/Center
- Wheat Ridge, CO
- NPI 1548218241
Physical Therapist
-
- Physical Therapy Clinic/Center
- Longmont, CO
- NPI 1235729567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1972169498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 ALPINE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043305",
"telephone_number": "303-444-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 ALPINE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043305",
"telephone_number": "303-444-0378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUHAUS",
"first_name": "TRAVIS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-10",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0017909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.