DYNAMIC ATHLETE PLLC
NPI 1841986494
Internal Medicine - Sports Medicine in Boulder, CO
About Dynamic Athlete Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYNAMIC ATHLETE PLLC (NPI 1841986494) is a healthcare organization registered as a sports medicine in Boulder, Colorado and active in the NPI registry since April 2023. The organization lists Nicole Allison, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Dynamic Athlete Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dynamic Athlete PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Dynamic Athlete PLLC's NPI number?
The NPI number for Dynamic Athlete PLLC is 1841986494. It was assigned to this organization in the NPPES registry on April 17, 2023.
Where is Dynamic Athlete PLLC located?
Dynamic Athlete PLLC is located at 1790 30th St Ste 270, Boulder, CO 80301. The listed phone number is (303) 997-1733.
What is Dynamic Athlete PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.
Is Dynamic Athlete PLLC enrolled in Medicare?
Yes. Dynamic Athlete PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dynamic Athlete PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dynamic Athlete PLLC. 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 Dynamic Athlete PLLC was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Dynamic Athlete Pllc · NPI 1841986494
Sports Medicine organization in Boulder, Colorado. Organization record, active in the CMS NPPES registry since April 17, 2023.
## Identity
- **NPI:** 1841986494 (Entity type: Organization)
- **Enumerated:** April 17, 2023
- **Primary specialty:** Internal Medicine - Sports Medicine · taxonomy 207RS0010X
- **Organization subpart:** No
- **Authorized official:** Nicole Allison, PRACTICE MANAGER
## Practice location
- **Address:** 1790 30TH ST STE 270, Boulder, CO 80301-1085
- **Phone:** (303) 997-1733
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1841986494) · Data from the CMS NPPES public registry.