Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COLORADO FITNESS PHYSIO, PLLC
NPI 1003715111
Social Worker - Clinical in Boulder, CO

Active since November 04, 2026
505 THUNDERBIRD DRIVE, BOULDER, CO 80303(855) 749-7461 Get Directions Write a Review

NPPES record added: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Colorado Fitness Physio, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLORADO FITNESS PHYSIO, PLLC (NPI 1003715111) is a healthcare organization registered as a clinical in Boulder, Colorado and active in the NPI registry since November 2026. The organization lists Brian Hershberger, Cco, as its authorized official.

NPPES Registry Identity

NPI1003715111
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOLORADO FITNESS PHYSIO, PLLC
Location Address505 THUNDERBIRD DRIVEBoulder, CO 80303
Mailing Address6100 E Central Ave Ste 3Wichita, KS 67208-4237
Organization SubpartNo
Authorized OfficialBrian HershbergerCco · (301) 787-0989
Enumeration DateNovember 4, 2026
NPPES CertifiedNovember 3, 2026
✔ NPI 1003715111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
505 THUNDERBIRD DRIVE, Boulder, CO 80303

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
505 THUNDERBIRD DRIVE
BOULDER, CO 80303
Physical Therapist
505 THUNDERBIRD DRIVE
BOULDER, CO 80303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colorado Fitness Physio, PLLC's NPI number?

The NPI number for Colorado Fitness Physio, PLLC is 1003715111. It was assigned to this organization in the NPPES registry on November 4, 2026.

Where is Colorado Fitness Physio, PLLC located?

Colorado Fitness Physio, PLLC is located at 505 Thunderbird Drive, Boulder, CO 80303. The listed phone number is (855) 749-7461.

What is Colorado Fitness Physio, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Colorado Fitness Physio, PLLC was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.