CANON CITY PHYSIOTHERAPY INC
NPI 1154477065
Physical Therapist in Canon City, CO

Active since January 25, 2007
1107 MAIN ST, CANON CITY, CO 81212(719) 269-1142(719) 269-1413 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Canon City Physiotherapy Inc NPPES

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

CANON CITY PHYSIOTHERAPY INC (NPI 1154477065) is a healthcare organization registered as a physical therapist in Canon City, Colorado and active in the NPI registry since January 2007. The organization lists Paul Wayne Paschall, Owner, as its authorized official.

NPPES Registry Identity

NPI1154477065
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameCANON CITY PHYSIOTHERAPY INC
Location Address1107 MAIN STCanon City, CO 81212-3413
Mailing Address1107 Main StCanon City, CO 81212-3413 · (719) 269-1142 · Fax (719) 269-1413
Fax(719) 269-1413
Organization SubpartNo
Authorized OfficialPaul Wayne PaschallOwner · (719) 269-1142
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 13, 2022
NPPES CertifiedJuly 13, 2022
✔ NPI 1154477065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in CO · 5795✔ Licensed in CO · 6141
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1107 MAIN ST, Canon City, CO 81212

Other Identifiers 2

Other650021141CO · Railroad Medicare
Medicaid68131364CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Canon City Physiotherapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Canon City Physiotherapy Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1619515897
1107 MAIN ST
Canon City, CO 81212
(719) 269-1142
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1225187768
903 MACON AVE
Canon City, CO 81212
(719) 269-1142
✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Canon City Physiotherapy Inc's NPI number?

The NPI number for Canon City Physiotherapy Inc is 1154477065. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Canon City Physiotherapy Inc located?

Canon City Physiotherapy Inc is located at 1107 Main St, Canon City, CO 81212. The listed phone number is (719) 269-1142.

What is Canon City Physiotherapy Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Canon City Physiotherapy Inc enrolled in Medicare?

Yes. Canon City Physiotherapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Canon City Physiotherapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Canon City Physiotherapy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Canon City Physiotherapy Inc was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.