Headwaters Physical Therapy Llc is a medicare enrolled "Physical Therapist" provider in Bailey, Colorado. Their current practice location is
1 Delwood Dr Unit 640, Bailey, Colorado. You can reach out to their office (for appointments etc.) via phone at
(720) 812-3583.
Headwaters Physical Therapy Llc is licensed to practice in NU (license number ) and it also participates in the medicare program. Headwaters Physical Therapy Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1669351805.
Healthcare Provider's Profile
| Full Name | Headwaters Physical Therapy Llc |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 1 Delwood Dr Unit 640, Bailey, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669351805
- Provider Enumeration Date: 09/01/2025
- Last Update Date: 09/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951899947
- Enrollment ID: O20251022000919
Medical Identifiers
Medical identifiers for Headwaters Physical Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669351805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (NU) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Headwaters Physical Therapy Llc acts as a billing entity for following providers:
| Provider Name | Kyle Kindler Yeager |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1477164416 PECOS PAC ID: 9335541333 Enrollment ID: I20210714000401 |
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| Provider Name | Amanda J Ennett |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1750029625 PECOS PAC ID: 0143603845 Enrollment ID: I20220812001715 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Headwaters Physical Therapy Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Headwaters Physical Therapy Llc 802 Summer Dr, Highlands Ranch, CO 80126-3092 Ph: (317) 407-0862 | Headwaters Physical Therapy Llc 1 Delwood Dr Unit 640, Bailey, CO 80421-2421 Ph: (720) 812-3583 |
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