Active NPI
Eric Andrew Makuch, DPT
- Physical Therapist
- Conifer, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0021416
- Practice address
- 26367 Conifer Rd
Conifer, CO 80433-9140 - Phone
- (303) 838-3900
- NPI assigned
- Sep 26, 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 | AZ | ||
| Physical Therapist | 225100000X | PTL.0021416 | CO | Primary |
| Physical Therapist | 225100000X | PT39446 | FL |
Addresses
Primary practice location
26367 Conifer Rd
Conifer, CO 80433-9140
Mailing address
26367 Conifer Rd
Conifer, CO 80433-9140
Other practice location 1
16251 N Cleveland Ave
North Fort Myers, FL 33903-2176
Phone (239) 731-6222
Other practice location 2
6261 N La Cholla Blvd Ste 211
Tucson, AZ 85741-3564
Phone (520) 407-6131
Other practice location 3
4015 Lake Otis Pkwy Ste 200
Anchorage, AK 99508-5235
Phone (907) 770-6363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, WA, AZ, CA
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230905003289 | VA | Practitioner - Physical Therapist in Private Practice | 6901269125 | Reassigns benefits to 1 organization |
| I20240131003769 | WA | Practitioner - Physical Therapist in Private Practice | 6901269125 | Reassigns benefits to 2 organizations |
| I20240909002498 | AZ | Practitioner - Physical Therapist in Private Practice | 6901269125 |
Reassigns benefits to 1 organization Practice locations: Tucson, AZ |
| I20260326003341 | CA | Practitioner - Physical Therapist in Private Practice | 6901269125 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kitsap Physical Therapy and Sports Clinic PS IncH D P R G Inc
Practice addresses (Care Compare)
2400 NW Myhre Rd
Suite 102
Silverdale, WA 98383-7672
Phone (360) 613-1834
5930 Adobe Rd
Twentynine Palms, CA 92277-2356
Phone (760) 367-1743
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT39447 | FL | MD | Physical Therapist |
Practice roles (9 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current | Accepting new patients |
| Kitsap Physical Therapy and Sports Clinic PS Inc | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549
6261 N La Cholla Blvd
Ste 211
Tucson, AZ 85741
Phone (520) 229-3300
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
790 Remington Blvd
Bolingbrook, IL 60440
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210
4125 Ironbound Rd
Ste 100
Williamsburg, VA 23188
Phone (757) 220-8383
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
16222 Meridian E
Ste 101
Puyallup, WA 98375
Phone (253) 846-7595
2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764
2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764
Networks
- Freedom Health HMO Network
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
- Silverdale, WA
- NPI 1912902347
-
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
- Durable Medical Equipment & Medical Supplies
- Kingston, WA
- NPI 1700466083
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Poulsbo, WA
- NPI 1114507068
-
- Durable Medical Equipment & Medical Supplies
- Bainbridge Island, WA
- NPI 1154901437
-
- Durable Medical Equipment & Medical Supplies
- Silverdale, WA
- NPI 1699355446
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1992428783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26367 CONIFER RD",
"city": "CONIFER",
"state": "CO",
"postal_code": "804339140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26367 CONIFER RD",
"city": "CONIFER",
"state": "CO",
"postal_code": "804339140",
"telephone_number": "303-838-3900"
}
],
"practiceLocations": [
{
"address_1": "16251 N Cleveland Ave",
"address_purpose": "LOCATION",
"city": "North Fort Myers",
"state": "FL",
"postal_code": "339032176",
"country_code": "US",
"telephone_number": "239-731-6222",
"fax_number": "239-731-6555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6261 N La Cholla Blvd Ste 211",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857413564",
"country_code": "US",
"telephone_number": "520-407-6131",
"fax_number": "520-822-8641",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4015 Lake Otis Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995085235",
"country_code": "US",
"telephone_number": "907-770-6363",
"fax_number": "907-770-6366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKUCH",
"first_name": "ERIC",
"middle_name": "ANDREW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-26",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0021416",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT39446",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conifer, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.