Individual provider Active NPI

Eric Andrew Makuch, DPT

  • Physical Therapist
  • Conifer, CO
National Provider Identifier
1992428783
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0021416 Issued in CO
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

Updated by the provider on Jul 15, 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 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, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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 Inc 142 clinicians
H D P R G Inc 16 clinicians

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

LicenseStateTypeSpecialty
PT39447FLMDPhysical Therapist

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jul 29, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Jan 12, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Multicare Health System CurrentSince Jan 12, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Ideal Rehabilitation LLC PastSince Jul 1, 2024 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.

View all 13

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.

Verify at the official NPI Registry.