Unknown Individual – Pediatric Physical Therapist, NPI 1528246790

Unknown Individual is a healthcare provider. based in Highlands ranch, Colorado. specializing in Pediatric Physical Therapist. They hold a License No. 8431 (CO). The NPI Number for Unknown Individual is 1528246790

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1528246790
Phone
(303) 956-5872
Address
314 WILLOWICK CIR
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
PACIFIC MEDICAL COLLEGE
Secondary Phone
5057588761
Graduation Year
2003 (23 years ago)
PAC ID
4183879372
Group Practice PAC ID
9335167089
Professional Enrollment ID
I20200603002083
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

Provider Addresses for Unknown Individual

  • 314 WILLOWICK CIR

    HIGHLANDS RANCH, CO 801296253

    Phone: (303) 956-5872

    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.

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 80129)

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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: 9335167089View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNM
Physical Therapist In Private PracticeNM
Physical Therapist In Private PracticeNM
Physical Therapist In Private PracticeNM

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1528246790 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Pediatric Physical Therapist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Highlands Ranch?
Public fields place Unknown Individual around Highlands Ranch, Colorado. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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