ERIC WILLISTON (DPT) – Physical Therapist, NPI 1215163530

ERIC WILLISTON (DPT) is a healthcare provider. based in Colorado springs, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PTL.0012040 (CO). The NPI Number for ERIC WILLISTON (DPT) is 1215163530

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
ERIC WILLISTON (DPT)
NPI
1215163530
Phone
(443) 386-4880
Address
4110 BRIARGATE PKWY
Enumeration Date
1 June 2009
Last Update Date
16 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196327669
Graduation Year
2009 (17 years ago)
PAC ID
5991851446
Group Practice PAC ID
5395633747
Professional Enrollment ID
I20130724000389
Address ID
CO809063542CO1259XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

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Provider Addresses for ERIC WILLISTON (DPT)

  • Colorado Springs Orthopoedic Group, 4110, Briargate Parkway, Colorado Springs, El Paso County, Colorado, 80920, United States

    STE 300

    COLORADO SPRINGS, CO 809207837

    Phone: (443) 386-4880

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130724000389IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,85399$0
97140Therapy procedure using manual technique, each 15 minutes50473$0
97161Evaluation for physical therapy, typically 20 minutes8373$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes5417$0
View full utilization report →

Insurance plans in this area (ZIP 80920)

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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: 5395633747View full group profile
NameSpecialtyState
Physician AssistantFL
Physical Therapist In Private PracticePA
Orthopedic SurgeryCO
Physical Therapist In Private PracticeFL
Orthopedic SurgeryCO
Physician AssistantCO
Physician AssistantCO
Physical Therapist In Private PracticeCO
Physician AssistantMO
-CO

Reviews

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Frequently asked questions

How is ERIC WILLISTON (DPT) identified in CMS data?
CMS-hosted NPPES data lists ERIC WILLISTON (DPT) with NPI 1215163530.
Does the file indicate ERIC WILLISTON (DPT) is practicing under active NPI?
Directory data currently reports ERIC WILLISTON (DPT) as active.
What is ERIC WILLISTON (DPT)'s primary classification?
Physical Therapist is the headline specialty for ERIC WILLISTON (DPT) here. Clinical services aligned with this taxonomy classification.
What address line appears for ERIC WILLISTON (DPT)?
ERIC WILLISTON (DPT)'s geographic hint is Colorado Springs, Colorado in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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