Colorado Athletic Conditioning Clinic Lowry Professional LLC
Organization Active NPI Physical Therapist · Colorado Springs, CO
NPI 1992559546 · NPPES record last updated Mar 7, 2025
Key facts
- NPI
- 1992559546
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- COLORADO ATHLETIC CONDITIONING CLINIC LOWRY PROFESSIONAL LLC
- Practice address
- 5570 Powers Center PT
Colorado Springs, CO 80920-7100 - Phone
- (719) 785-1696
- Fax
- (719) 785-1699
- NPI assigned
- Apr 11, 2024
- Organization subpart
- No
Authorized official
- Name
- Melanie Redfern Cataldo
- Title
- Credentialing Specialist
- Phone
- (412) 567-2400
Other NPIs on the same Medicare enrollment 8
Corporate family (same tax ID) 8
Practitioners 10
-
Khalid Cray, DPT
-
Madelyn Marie Dow, DPT
-
Alexandra T Fields, DPT
-
Brandon Thomas Gray, DPT
-
Kathryn O'Brien, PT
-
Jordan West, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060105000571 | CO | Part B Supplier - Clinic/Group Practice | 0648293605 |
Receives reassigned benefits from 47 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lone Tree, CO; Parker, CO; Lakewood, CO; Englewood, CO; Denver, CO; Commerce City, CO; Colorado Springs, CO; Aurora, CO… |
National Provider Directory
- Tax ID family
- Colorado Athletic Conditioning Clinic Lowry Professional LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
5570 Powers Center PT
Colorado Springs, CO 80920-7100
Mailing address
PO Box 392977
Pittsburgh, PA 15251-9977
Phone (724) 343-4060
Other providers in Colorado Springs, CO
- Luis Colon
- Colonial Health and Rehabilitation Center LLC
- Colonial Health and Rehabilitation Center LLC
- Colonial Rehabilitation and Nursing, LLC
- Colorado Athletic Conditioning Clinic Lowry Professional LLC
- Colorado Cardiac Alliance, LLC
- Colorado Center for Neuroscience, PC
- Colorado Center for Otolaryngology, Professional LLC
- Colorado Center for Pain and Wellness, PLLC
- Colorado Center of Orthopaedic Excellence Inc
All providers in Colorado Springs, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.