COLORADO SPINE THERAPY, LLC
NPI 1679766984
Physical Therapist - Orthopedic in Denver, CO

Active since August 20, 2007
1385 S COLORADO BLVD, DENVER, CO 80222(303) 842-5614(303) 691-1142 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Colorado Spine Therapy, Llc NPPES

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

COLORADO SPINE THERAPY, LLC (NPI 1679766984) is a healthcare organization registered as an orthopedic in Denver, Colorado and active in the NPI registry since August 2007. The organization lists Stefan Jh Van Duursen, Owner/physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1679766984
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameCOLORADO SPINE THERAPY, LLC
Location Address1385 S COLORADO BLVDDenver, CO 80222-3304
Mailing AddressP.o. Box 21150, Flatirons Practice ManagementBoulder, CO 80308-4150 · (303) 546-9158 · Fax (303) 691-1142
Fax(303) 691-1142
Organization SubpartNo
Authorized OfficialStefan Jh Van DuursenOwner/physical Therapist · (303) 842-5614
Enumeration DateAugust 20, 2007
Last NPPES UpdateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
✔ NPI 1679766984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CO · 5012
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1385 S COLORADO BLVD, Denver, CO 80222

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20071005000226Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Colorado Spine Therapy, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Physical Therapist in Private Practice
NPI 1982563748
1385 S COLORADO BLVD STE 620
Denver, CO 80222
(303) 691-3733
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1669666582
1385 S COLORADO BLVD # A-620
Denver, CO 80222
(303) 691-3733
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1023186137
1385 S COLORADO BLVD STE A620
Denver, CO 80222
(303) 691-3733
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1871480624
1185 STATE HIGHWAY 7
Broomfield, CO 80023
(303) 449-2730
✔ Accepts Medicare72 mi
Physical Therapist in Private Practice
NPI 1962983791
2525 S RURAL RD STE 5S
Tempe, AZ 85282
(480) 921-9000
582 mi
Physical Therapist in Private Practice
NPI 1215452479
4085 BURTON ST SE STE 100
Grand Rapids, MI 49546
(616) 233-3599
✔ Accepts Medicare1,030 mi
Physical Therapist in Private Practice
NPI 1346780277
3061 STATE ROUTE 28
Herkimer, NY 13350
(315) 717-0020
✔ Accepts Medicare1,566 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 Colorado Spine Therapy, LLC's NPI number?

The NPI number for Colorado Spine Therapy, LLC is 1679766984. It was assigned to this organization in the NPPES registry on August 20, 2007.

Where is Colorado Spine Therapy, LLC located?

Colorado Spine Therapy, LLC is located at 1385 S Colorado Blvd, Denver, CO 80222. The listed phone number is (303) 842-5614.

What is Colorado Spine Therapy, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Colorado Spine Therapy, LLC enrolled in Medicare?

Yes. Colorado Spine Therapy, LLC is registered in the Medicare PECOS enrollment system.

When is Colorado Spine Therapy, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Colorado Spine Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Colorado Spine 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Colorado Spine Therapy, LLC was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.