Individual provider Active NPI

Andrew V Misiorowski, PT, DPT

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1972256782
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020921 Issued in CO
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

Updated by the provider on May 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, CO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
25962MAMDPharmacist
PTL.0020921COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Health & Rehab LLC Physical Therapist Current Accepting new patients
Bouldercentre for Orthopedics CurrentSince Apr 27, 2026 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Summit Physical Therapy, Inc. Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Colorado Health & Rehab LLC Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Colorado Health & Rehab LLC Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients
Bouldercentre for Orthopedics PC CurrentSince Apr 27, 2026 Accepting new patients
Broomfield Orthopedic Surgery Center, LLC PastSince May 21, 2023 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

  • FHIR API: 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.

View all 13

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 LLC 21 clinicians
Bouldercentre for Orthopedics PC 56 clinicians
Summit Physical Therapy Inc 13 clinicians

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 100Reported as group
Quality
87.65
Improvement activities
40
Cost
73.37

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
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.

Verify at the official NPI Registry.