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Connor Joseph Speck , MS, ATC

Specialist/Technologist - Athletic Trainer β€’ Boulder, CO

Active NPI 1871058545 Individual Practitioner Male Practitioner
Practice location in NPPES

2150 Stadium Drive
Boulder, CO 803090001

Call 9254579495 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2150 Stadium Drive

Boulder, CO 803090001

Telephone 9254579495
Organization at the Same NPPES Address or Phone
Boulder Community Health Facility NPI 1174179915

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Boulder and Colorado

25 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Boulder, CO (694 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boulder

0% of these 25 clinicians have the CMS telehealth indicator.

0% of these 25 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-10
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Dr. Allison Asman , DPT

Physical Therapist

NPI 1417441809

Doctor of Physical Therapy

Dr. Michael Boykin , DPT

Physical Therapist

NPI 1629667118

Doctor of Physical Therapy

Dr. Keith Demmon , DPT

Physical Therapist

NPI 1215967302

Doctor of Physical Therapy

NPI 1831602879

Physical Therapist, Doctor of Physical Therapy, Orthopedic Clinical Specialist

Dr. Kelcii Fisher , DPT

Physical Therapist

NPI 1689179004

Doctor of Physical Therapy

Eric Gustafson

Physical Therapist

NPI 1700285137

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 10, 2020

Registered at 2150 STADIUM DRIVE, BOULDER, CO 803090001 (Tel: 9254579495)

πŸ‘€
Provider Name / Credentials Updated March 10, 2020

Recorded as CONNOR SPECK, MS, ATC

βœ…
NPI Profile Active February 06, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 06, 2019

Registered at 641 EAST CAMPUS DRIVE, STANFORD, CA 94305 (Tel: 9254579495)

πŸ“
Business Mailing Address (Initial Record) February 06, 2019

Registered at 14523 HARMONY ESTATES ROAD, NEVADA CITY, CA 95959

πŸ‘€
Provider Name / Credentials (Initial Record) February 06, 2019

Recorded as CONNOR SPECK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2019

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration February 06, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871058545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2019
Last Update: March 10, 2020
Sole Proprietor: No

Mailing Address

14523 Harmony Estates Road

Nevada City, CA 95959

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.