Proactive Greeley - Medicare Physical Therapist in Greeley, CO

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Proactive Greeley is a medicare enrolled "Physical Therapist" provider in Greeley, Colorado. Their current practice location is 2015 Clubhouse Dr, Ste 2, Greeley, Colorado. You can reach out to their office (for appointments etc.) via phone at (408) 570-0510.

Proactive Greeley is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Proactive Greeley 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 1154593960.

Contact Information

Proactive Greeley
2015 Clubhouse Dr, Ste 2,
Greeley, CO 80634-3644
(408) 570-0510
(408) 945-4018

Map and Direction




Healthcare Provider's Profile

Full NameProactive Greeley
TypeFacility
SpecialityPhysical Therapist
Location2015 Clubhouse Dr, Greeley, Colorado
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154593960
  • Provider Enumeration Date: 04/01/2008
  • Last Update Date: 12/31/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2961316500
  • Enrollment ID: O20080911000254

Medical Identifiers

Medical identifiers for Proactive Greeley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154593960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Proactive Greeley acts as a billing entity for following providers:
Provider NameBrandeis L Bradley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649220047
PECOS PAC ID: 1153235460
Enrollment ID: I20031119000297
Provider NameDennis W Martin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194773846
PECOS PAC ID: 0143285221
Enrollment ID: I20041201000440
Provider NameWesley M Riggs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194787762
PECOS PAC ID: 0143236372
Enrollment ID: I20060830000417
Provider NameJeffrey S Lipkin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295760536
PECOS PAC ID: 7618075540
Enrollment ID: I20070531000147
Provider NameCindy J Molina
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598970824
PECOS PAC ID: 9133227887
Enrollment ID: I20070618000179
Provider NameChad Gott
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487764023
PECOS PAC ID: 1052494069
Enrollment ID: I20080214000261
Provider NameStacy A Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841461217
PECOS PAC ID: 6608946991
Enrollment ID: I20080529000191
Provider NameTodd S Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346411790
PECOS PAC ID: 0547330847
Enrollment ID: I20080529000254
Provider NameDarrel R Martin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558539809
PECOS PAC ID: 5496825739
Enrollment ID: I20080529000547
Provider NameJeffrey H Katzoff
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154331551
PECOS PAC ID: 7416095104
Enrollment ID: I20091118000206
Provider NameJamie K Bovay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629389051
PECOS PAC ID: 9133244031
Enrollment ID: I20100915001066
Provider NameTaya D Skarda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205121043
PECOS PAC ID: 8820268444
Enrollment ID: I20110908001947
Provider NameKate T Farner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922214485
PECOS PAC ID: 2769653179
Enrollment ID: I20110915000295
Provider NameTyler J Ready
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750676771
PECOS PAC ID: 5698946366
Enrollment ID: I20110929000375
Provider NameAndrea Nicole Becker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255364865
PECOS PAC ID: 7113190315
Enrollment ID: I20111103000700
Provider NameErin N Amundsen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1689935405
PECOS PAC ID: 4385890086
Enrollment ID: I20120813000504
Provider NameNicole Ellen Fox
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871700419
PECOS PAC ID: 7113028127
Enrollment ID: I20130225000072
Provider NameMichael A Keirns
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801843594
PECOS PAC ID: 8325278138
Enrollment ID: I20140222000346
Provider NameJeremy Joel Bruhn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518204155
PECOS PAC ID: 8426289497
Enrollment ID: I20140317000840
Provider NameWilliam Gregoire
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174773139
PECOS PAC ID: 1456411289
Enrollment ID: I20140710000873
Provider NameJennifer Molner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639595903
PECOS PAC ID: 0143543934
Enrollment ID: I20141231001808
Provider NameCory Szostowski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124323886
PECOS PAC ID: 0244412120
Enrollment ID: I20150220001004
Provider NameMichael Van Portfliet
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871975169
PECOS PAC ID: 9739495789
Enrollment ID: I20150904001841
Provider NameBrooke E Bemis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720339054
PECOS PAC ID: 4688810021
Enrollment ID: I20151105000454
Provider NameTimothy S Rutan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295134401
PECOS PAC ID: 6204056088
Enrollment ID: I20151117000838
Provider NameRichard Andrew Huber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730553017
PECOS PAC ID: 6507161239
Enrollment ID: I20160218000211
Provider NameRachel Grims
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588045546
PECOS PAC ID: 8628374170
Enrollment ID: I20160309000362
Provider NameJaclyn Rae Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376904060
PECOS PAC ID: 7719284132
Enrollment ID: I20160330002456
Provider NameSarah Tangen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396945200
PECOS PAC ID: 3779895339
Enrollment ID: I20160813000030
Provider NameMegan C Holmberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306206537
PECOS PAC ID: 9436430295
Enrollment ID: I20170110001856
Provider NameDaniel Herbert Stoot
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164960043
PECOS PAC ID: 1759666092
Enrollment ID: I20170328002424
Provider NameAndrew Trevino
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538606611
PECOS PAC ID: 0345516514
Enrollment ID: I20171017001118
Provider NameThea C Ross
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699177105
PECOS PAC ID: 8426279928
Enrollment ID: I20171106001823
Provider NameNed Joseph Zerwic
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851792212
PECOS PAC ID: 3072734540
Enrollment ID: I20180423003044
Provider NameKatie Aaron
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588094866
PECOS PAC ID: 8820351901
Enrollment ID: I20180425000170
Provider NameColten Thomas Foster
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427548098
PECOS PAC ID: 8628323359
Enrollment ID: I20180620000938
Provider NameTroy Klaassen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447740147
PECOS PAC ID: 5991050569
Enrollment ID: I20180622000699
Provider NameKelsy Wheeler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285115527
PECOS PAC ID: 8527311695
Enrollment ID: I20181019002220
Provider NameMichael Jason Levin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174007843
PECOS PAC ID: 1355695941
Enrollment ID: I20181119000420
Provider NameMeaghan Elizabeth O'donnell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831558311
PECOS PAC ID: 4183978505
Enrollment ID: I20181120003068
Provider NameSteven Patrick Lauman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568948131
PECOS PAC ID: 7719225127
Enrollment ID: I20190211001004
Provider NameCharlotte M Robinson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629541842
PECOS PAC ID: 8325386337
Enrollment ID: I20190218002150
Provider NameJessica Hendry Cody
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104292069
PECOS PAC ID: 1759691603
Enrollment ID: I20190411000670
Provider NameMarie D Pollock
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194297374
PECOS PAC ID: 0941531008
Enrollment ID: I20191004000283
Provider NameDerrick Lynn Leeper
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386203800
PECOS PAC ID: 4981936846
Enrollment ID: I20191024003206
Provider NameBrett David Placek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679116693
PECOS PAC ID: 0143652354
Enrollment ID: I20191108001624
Provider NameAmy Elizabeth Cawrse
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1407062771
PECOS PAC ID: 0840243960
Enrollment ID: I20191115000436
Provider NameDarren Estes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043858004
PECOS PAC ID: 2365871316
Enrollment ID: I20200326003030
Provider NameMeghan Long
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457907891
PECOS PAC ID: 0345572079
Enrollment ID: I20200416003798
Provider NameErin Hannigan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225677669
PECOS PAC ID: 3375974918
Enrollment ID: I20200514000915
Provider NameVictoria Lynn Placek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861983819
PECOS PAC ID: 1951656255
Enrollment ID: I20200514002943
Provider NameMark Kincaid
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760017388
PECOS PAC ID: 1759712375
Enrollment ID: I20200515001064
Provider NameLauren Ulrich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093326399
PECOS PAC ID: 0547680738
Enrollment ID: I20201008001629
Provider NameJordan Winters
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194318105
PECOS PAC ID: 9032526363
Enrollment ID: I20210401001431
Provider NameMackenzie Blake Vineyard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760057970
PECOS PAC ID: 5890195234
Enrollment ID: I20210607002444
Provider NameEvelyn Widner-massey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609071950
PECOS PAC ID: 6103080981
Enrollment ID: I20210913003628
Provider NameAustin Hearne
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811563687
PECOS PAC ID: 0345646584
Enrollment ID: I20210913003632
Provider NameEmma Hart
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699385120
PECOS PAC ID: 1951727973
Enrollment ID: I20210915003037
Provider NameEllie Hess
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770157646
PECOS PAC ID: 7113324203
Enrollment ID: I20210915003175
Provider NameNicole M Mapes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508530791
PECOS PAC ID: 6002213980
Enrollment ID: I20210920001737
Provider NameRoman Gregory Seghezzi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679236814
PECOS PAC ID: 0941690929
Enrollment ID: I20211206002662
Provider NameJared Aguilar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194297507
PECOS PAC ID: 2163768961
Enrollment ID: I20211216002080
Provider NameJason Goumas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255379111
PECOS PAC ID: 6800893314
Enrollment ID: I20211216002377
Provider NamePatrick Myers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528118213
PECOS PAC ID: 2365430089
Enrollment ID: I20211217000289
Provider NameDomenica Potena
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720378011
PECOS PAC ID: 0042497745
Enrollment ID: I20211221001978
Provider NameAshleigh Lynn Martin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598418220
PECOS PAC ID: 7911392261
Enrollment ID: I20220323000937
Provider NameAngela Mackay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295306892
PECOS PAC ID: 1254727878
Enrollment ID: I20220407002726
Provider NameAdam Klein
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922750512
PECOS PAC ID: 2769878297
Enrollment ID: I20220408000598
Provider NameMolly Rose Hofmeister
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1699286245
PECOS PAC ID: 3274910419
Enrollment ID: I20220510000660
Provider NameKelsey Jordan Porter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821736307
PECOS PAC ID: 7810377058
Enrollment ID: I20220706003167
Provider NameKevin Lee Ratchford
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427787464
PECOS PAC ID: 3870974736
Enrollment ID: I20220723000215
Provider NameMicaela Dlugosz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053047548
PECOS PAC ID: 0941684039
Enrollment ID: I20220909000305
Provider NameTessy Oommen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679961114
PECOS PAC ID: 4082980396
Enrollment ID: I20221011002837
Provider NameMark Milligan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174810592
PECOS PAC ID: 8325218928
Enrollment ID: I20221012004037
Provider NameRebecca Schmidt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356064430
PECOS PAC ID: 9234506981
Enrollment ID: I20221109001168
Provider NameRobert Daniel Austin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477147783
PECOS PAC ID: 6305253550
Enrollment ID: I20221208000615
Provider NameKorin Dale
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063092732
PECOS PAC ID: 5193195709
Enrollment ID: I20221222001918
Provider NameMadison Welmon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437864436
PECOS PAC ID: 4880066976
Enrollment ID: I20230220000554
Provider NamePeter Benson Thomsen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215636774
PECOS PAC ID: 1254706591
Enrollment ID: I20230419000035
Provider NameBrittany Elizabeth Beckwith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063938694
PECOS PAC ID: 3072888387
Enrollment ID: I20230612002662
Provider NameKaitlyn Hanks
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851179352
PECOS PAC ID: 6204281793
Enrollment ID: I20231019000137
Provider NameRachel Peters
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235741950
PECOS PAC ID: 0648664037
Enrollment ID: I20231113000153
Provider NameIsaac Rincones
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831953157
PECOS PAC ID: 1557706645
Enrollment ID: I20240228002919
Provider NameCody Don Anschutz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891559639
PECOS PAC ID: 2668818659
Enrollment ID: I20240313000695

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. Proactive Greeley 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 AddressPractice Location Address
Proactive Greeley
7310 S Alton Way, Suite 6l,
Centennial, CO 80112-2334

Ph: (303) 790-4495		Proactive Greeley
2015 Clubhouse Dr, Ste 2,
Greeley, CO 80634-3644

Ph: (408) 570-0510

Reviews and Comments


Physical Therapist in Greeley, CO

Dr. Austin Michael Lake, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4681 W 20th St Unit 202b, Greeley, CO 80634
Phone: 720-331-3687    
Susan Galbo Hunt, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6358 W 3rd Street Rd, Greeley, CO 80634
Phone: 970-581-4708    
Jennah Jones, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4663 W 20th Street Rd, Greeley, CO 80634
Phone: 970-352-8762    Fax: 970-353-2081
Randy Willman, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 6767 W 29th Street, 1st Floor, Greeley, CO 80634
Phone: 970-313-2775    Fax: 970-313-2777
Nicole Anders,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 4617 W 20th St Unit A, Greeley, CO 80634
Phone: 970-352-9022    
Thrive Rehab, Pllc
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 913 19th Street, Greeley, CO 80639
Phone: 970-351-1876    
Korin Dale, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1715 61st Ave, Greeley, CO 80634
Phone: 970-793-4015    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.