Unknown Individual – Physical Therapist, NPI 1275577868

Unknown Individual is a healthcare provider. based in Steamboat springs, Colorado. specializing in Physical Therapist. They hold a License No. 4397 (CO). The NPI Number for Unknown Individual is 1275577868

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1275577868
Phone
(970) 879-8026
Address
PO BOX 883299
Deactivation Date
1 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9708798026
Graduation Year
1991 (35 years ago)
PAC ID
6305894791
Group Practice PAC ID
9638147234
Professional Enrollment ID
I20100927000305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 883299

    STEAMBOAT SPRINGS, CO 804883299

    Phone: (970) 879-8026

    Fax: (970) 879-8046

    Type: Mailing

  • Mid Valley Drive, Steamboat Springs, Routt County, Colorado, 80487, United States

    #3

    STEAMBOAT SPRINGS, CO 804879099

    Phone: (970) 879-8026

    Fax: (970) 879-8046

    Type: Location

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.

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 80488)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCO97001Physical therapy evaluation4340
PHYSICAL THERAPYCO97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes54252

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: 9638147234View full group profile
NameSpecialtyState
DR. RAYMOND NICHOLAS DEGLI (DPT)
-CO

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1275577868 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Steamboat Springs, Colorado; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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