EXECUTIVE PHYSICAL THERAPY, INC.
NPI 1588834121
Clinic/Center - Physical Therapy in Berthoud, CO
About Executive Physical Therapy, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXECUTIVE PHYSICAL THERAPY, INC. (NPI 1588834121) is a healthcare organization registered as a physical therapy in Berthoud, Colorado and active in the NPI registry since March 2008. The organization lists Caroline Corning Creager, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Executive Physical Therapy, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Executive Physical Therapy, 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 (3)
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 Executive Physical Therapy, Inc.'s NPI number?
The NPI number for Executive Physical Therapy, Inc. is 1588834121. It was assigned to this organization in the NPPES registry on March 11, 2008.
Where is Executive Physical Therapy, Inc. located?
Executive Physical Therapy, Inc. is located at 247 Mountain Avenue, Berthoud, CO 80513. The listed phone number is (970) 532-2533.
What is Executive Physical Therapy, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Executive Physical Therapy, Inc. enrolled in Medicare?
Yes. Executive Physical Therapy, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Executive Physical Therapy, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Executive Physical Therapy, 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 Executive Physical Therapy, Inc. was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Executive Physical Therapy, Inc. · NPI 1588834121
Physical Therapy organization in Berthoud, Colorado. Organization record, active in the CMS NPPES registry since March 11, 2008.
## Identity
- **NPI:** 1588834121 (Entity type: Organization)
- **Enumerated:** March 11, 2008
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Caroline Creager, OWNER
## Practice location
- **Address:** 247 MOUNTAIN AVENUE, Berthoud, CO 80513
- **Phone:** (970) 532-2533 · **Fax:** (970) 532-5450
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2008
- **Other identifiers:** Medicare PIN C533888 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1588834121) · Data from the CMS NPPES public registry.