RADHIKA MENON (PT) – Sports Physical Therapist, NPI 1043480668

Sports Physical Therapist

RADHIKA MENON (PT) is a healthcare provider. based in Boulder, Colorado. specializing in Sports Physical Therapist. They hold the professional credentials PT. They hold a License No. PTL.0003944 (CO). The NPI Number for RADHIKA MENON (PT) is 1043480668

Main info

Female

49 Years Of Experience

Accepts Medicare Assignment

Name

RADHIKA MENON (PT)

NPI

1043480668

Phone

(303) 315-9900

Address

5450 WESTERN AVE

Enumeration Date

11 March 2008

Last Update Date

6 July 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3033159900

Graduation Year

1977 (49 years ago)

PAC ID

3779879838

Group Practice PAC ID

6800707233

Professional Enrollment ID

I20160915002186

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience65

Completeness75

Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for RADHIKA MENON (PT)

5450, Western Avenue, Boulder, Boulder County, Colorado, 80301, United States
BOULDER, CO 803012709
Phone: (303) 315-9900
Fax: (303) 315-9902
Type: Mailing
Champions Center, 2150, Stadium Drive, Boulder, Boulder County, Colorado, 80309, United States
BOULDER, CO 803090001
Phone: (303) 315-9900
Fax: (303) 315-9902
Type: Location
5350 MANHATTAN CIR
STE 100
BOULDER, CO 803034272
Phone: (303) 543-1201
Fax: (303) 543-1206
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6800707233View full group profile

Name	Specialty	State
MS. PRACHI TONI PATEL (D.O.)	-	CO
BRADLEY D FANESTIL (M.D.)	Internal Medicine	CO
MR. BRIAN NEIL FORMAN (D.P.T.)	-	CO
TODD ANDREW BIGATEL (M.D.)	Hospitalist, Internal Medicine	CO
PANTELIS HADJIZACHARIA (M.D.)	Vascular Surgery	CO
ANDREW JAMES MCBRIDE (M.D.)	-	CO
DR. SANTIAGO DE LA GARZA (M.D.)	Internal Medicine	CO
DR. SRINIVAS IYENGAR (M.D.)	Cardiovascular Disease (Cardiology), Interventional Cardiology	CO
NANCY ANNE PETERSON (PA-C)	Physician Assistant	CO
SARA C RUWITCH (APN, RXN)	Nurse Practitioner	CO