Active NPI
Andrew V Misiorowski, PT, DPT
- Physical Therapist
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0020921
- Practice address
- 4740 Pearl Pkwy Ste 300
Boulder, CO 80301-3080 - Phone
- (303) 449-2730
- Fax
- (303) 449-5821
- NPI assigned
- Feb 1, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0020921 | CO | Primary |
| Physical Therapist | 225100000X | PT61543218 | WA | |
| Physical Therapist | 225100000X | 25962 | MA |
Addresses
Primary practice location
4740 Pearl Pkwy Ste 300
Boulder, CO 80301-3080
Mailing address
4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Phone (303) 449-2730
Other practice location 1
1185 State Highway 7
Broomfield, CO 80023-1013
Phone (303) 449-2730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, OR, AK, CO
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220321001133 | MA | Practitioner - Physical Therapist in Private Practice | 4688069107 | Reassigns benefits to 1 organization |
| I20241204001574 | OR | Practitioner - Physical Therapist in Private Practice | 4688069107 | Reassigns benefits to 1 organization |
| I20250307003366 | AK | Practitioner - Physical Therapist in Private Practice | 4688069107 | Reassigns benefits to 1 organization |
| I20251031001442 | CO | Practitioner - Physical Therapist in Private Practice | 4688069107 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25962 | MA | MD | Pharmacist |
| PTL.0020921 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Health & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Bouldercentre for Orthopedics | Current | Accepting new patients | |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Summit Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Colorado Health & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Performance Rehabilitation of Western New England LLC | Physical Therapist | Current | Accepting new patients |
| Colorado Health & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Bouldercentre for Orthopedics PC | Current | Accepting new patients | |
| Broomfield Orthopedic Surgery Center, LLC | Past | Accepting new patients | |
| Carl Gustafson LLC | Physical Therapist | Past | Accepting new patients |
| Bouldercentre for Orthopedics | Physical Therapist | Past | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
601 E Pioneer Ave
Ste 218
Homer, AK 99603
Phone (907) 235-7473
4740 Pearl Pkwy
Ste 300
Boulder, CO 80301
Phone (303) 442-2666
4740 Pearl Pkwy
Ste 200
Boulder, CO 80301
1185 State Highway 7
Broomfield, CO 80023
Phone (303) 442-2666
1185 State Highway 7
Ste 200
Broomfield, CO 80023
115 Fontaine Blvd
Colorado Springs, CO 80911
Phone (719) 358-8885
3854 Village Seven Rd
Colorado Springs, CO 80917
Phone (719) 574-3111
790 Remington Blvd
Bolingbrook, IL 60440
33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418
101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703
124 Broadway
Ste A
Saugus, MA 01906
Phone (781) 813-5002
735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035
51385 SW Old Portland Rd
Ste E
Scappoose, OR 97056
Phone (503) 543-7768
51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
Interoperability endpoints
- https://api.platform.athenahealth.com/3497/brand/1/csg/21/fhir/r4
Organizations & group practices 13
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
- Colorado Springs, CO
- NPI 1336542125
CO, Physical Therapist
-
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
OR, Physical Therapist
-
- Physical Therapist
- West Springfield, MA
- NPI 1710919063
MA, Physical Therapist
-
- Orthopaedic Surgery Physician
- Broomfield, CO
- NPI 1780448951
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1649875378
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1912596941
-
- Durable Medical Equipment & Medical Supplies
- Wilbraham, MA
- NPI 1376140566
Physical Therapist
-
- Physical Therapist
- Boulder, CO
- NPI 1952427049
-
- Ambulatory Surgical Clinic/Center
- Broomfield, CO
- NPI 1487345328
-
- Physical Therapist
- Wellesley, MA
- NPI 1356366082
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Colorado Health and Rehab LLCBouldercentre for Orthopedics PCSummit Physical Therapy Inc
Practice addresses (Care Compare)
115 Fontaine Blvd
Strive Physical Therapy FNT
Colorado Springs, CO 80911-2110
Phone (719) 358-8885
4740 Pearl Pkwy
Suite 200
Boulder, CO 80301-3080
Phone (303) 449-2730
601 E Pioneer Ave
Suite 218
Homer, AK 99603-7694
Phone (907) 235-7473
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.22 of 100
- Quality
- 87.65
- Improvement activities
- 40
- Cost
- 73.37
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.09 of 100
- Quality
- 89.13
- Improvement activities
- 40
- Cost
- 73.57
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 88.06
- Improvement activities
- 40
- Cost
- 76.31
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.19 of 100
- Quality
- 86.04
- Improvement activities
- 40
- Cost
- 76.23
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1972256782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 PEARL PKWY STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013080",
"telephone_number": "303-449-2730",
"fax_number": "303-449-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 PEARL PKWY STE 300",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013080",
"telephone_number": "303-449-2730",
"fax_number": "303-449-5821"
}
],
"practiceLocations": [
{
"address_1": "1185 State Highway 7",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800231013",
"country_code": "US",
"telephone_number": "303-449-2730",
"fax_number": "303-449-5821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISIOROWSKI",
"first_name": "ANDREW",
"middle_name": "V",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-01",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0020921",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61543218",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "25962",
"primary": false
}
],
"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 May 12, 2026; 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.