HEADWATERS PHYSICAL THERAPY LLC
NPI 1669351805
Physical Therapist in Bailey, CO

Active since September 01, 2025
1 DELWOOD DR UNIT 640, BAILEY, CO 80421(720) 812-3583 Get Directions Write a Review

NPPES record last updated: September 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Headwaters Physical Therapy Llc NPPES

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

HEADWATERS PHYSICAL THERAPY LLC (NPI 1669351805) is a healthcare organization registered as a physical therapist in Bailey, Colorado and active in the NPI registry since September 2025. The organization lists Kyle Yeager, Physical Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1669351805
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameHEADWATERS PHYSICAL THERAPY LLC
Location Address1 DELWOOD DR UNIT 640Bailey, CO 80421-2421
Mailing Address802 Summer DrHighlands Ranch, CO 80126-3092 · (317) 407-0862
Organization SubpartNo
Authorized OfficialKyle YeagerPhysical Therapist/owner · (720) 812-3583
Enumeration DateSeptember 1, 2025
NPPES CertifiedSeptember 1, 2025
✔ NPI 1669351805 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
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.
1 DELWOOD DR UNIT 640, Bailey, CO 80421

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 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)

Headwaters Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Headwaters Physical Therapy LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1750029625
25577 CONIFER RD UNIT 125
Conifer, CO 80433
(303) 838-7444
✔ Accepts Medicare13 mi
Physical Therapist in Private Practice
NPI 1477164416
814 S PERRY ST STE D
Castle Rock, CO 80104
(303) 814-2865
✔ Accepts Medicare33 mi
Physical Therapist in Private Practice
NPI 1376067454
88 INVERNESS CIR E UNIT A106
Englewood, CO 80112
(303) 925-1050
34 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 Headwaters Physical Therapy LLC's NPI number?

The NPI number for Headwaters Physical Therapy LLC is 1669351805. It was assigned to this organization in the NPPES registry on September 1, 2025.

Where is Headwaters Physical Therapy LLC located?

Headwaters Physical Therapy LLC is located at 1 Delwood Dr Unit 640, Bailey, CO 80421. The listed phone number is (720) 812-3583.

What is Headwaters Physical Therapy LLC's specialty?

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

Is Headwaters Physical Therapy LLC enrolled in Medicare?

Yes. Headwaters Physical Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Headwaters Physical Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Headwaters Physical Therapy LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Headwaters Physical Therapy LLC was last updated on September 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.