Colorado Fitness Physio, PLLC
NPI 1396644407ActiveOrganization· Dietitian, Registered· Boulder, CO
Dietitian, Registered in Boulder, Colorado, registered in NPPES in November 2026. The authorized official on file is Brian Hershberger, PT, MPT, Cco.
Overview
| NPI | 1396644407 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2026 |
| Last updated in NPPES | Nov 4, 2026 |
| Certified by provider | Nov 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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