CONNOR THOMAS WALL
NPI 1821693995
Physical Therapist in Carbondale, CO
About Connor Thomas Wall NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNOR THOMAS WALL (NPI 1821693995) is an individual physical therapist in Carbondale, Colorado, licensed in Colorado (0017394) and active in the NPI registry since December 2020. He is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Connor Thomas Wall is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Connor Wall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carbondale, CO 81623
- Reassigned Medicare billing, Colorado enrollment
- 5 clinicians in this Medicare group
Basalt, CO 81621
- Reassigned Medicare billing, Colorado enrollment
- 194 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Connor Wall's NPI number?
The NPI number for Connor Wall is 1821693995. It was assigned to this individual provider in the NPPES registry on December 4, 2020.
Where is Connor Wall located?
Connor Wall practices at 564 Highway 133 La Fontana Plaza, Carbondale, CO 81623. The listed phone number is (970) 963-2700.
What is Connor Wall's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Connor Wall enrolled in Medicare?
Yes. Connor Wall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Connor Wall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connor Wall reassigns Medicare benefits to 2 organizations: Brownell Physical Therapy, LLC (Carbondale, CO) and Vail Clinic Inc (Basalt, CO). Each 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 Connor Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Connor Wall was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Connor Thomas Wall · NPI 1821693995
Physical Therapist provider in Carbondale, Colorado. Individual provider, active in the CMS NPPES registry since December 4, 2020.
## Identity
- **NPI:** 1821693995 (Entity type: Individual)
- **Enumerated:** December 4, 2020
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 0017394 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 564 HIGHWAY 133, LA FONTANA PLAZA, Carbondale, CO 81623
- **Phone:** (970) 963-2700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Brownell Physical Therapy, LLC (NPI 1902179120, Carbondale, CO); Vail Clinic Inc (NPI 1740946276, Basalt, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1821693995) · Data from the CMS NPPES public registry.