Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Ryan Potocki

Individual provider Physical Therapist · NPI 1265105456

Justin Ryan Potocki is a Physical Therapist in Private Practice in Glendale, Colorado. Qualified in 2021, 5 years ago. Practices with Colorado Springs Orthopaedic Group, a 78-clinician group and accepts Medicare assignment. Licensed in Alabama, Colorado and North Carolina.

Years since qualifying
5
Licensed in
AL, CO, NC
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

400 S Colorado Blvd Ste 640
Glendale, CO 80246-1239
Phone: (303) 320-4450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0019055 (CO)
Physical Therapist Taxonomy 225100000X · Licence P24217 (NC)
Physical Therapist Taxonomy 225100000X · Licence PTH11180 (AL)

Record details

NPI number1265105456
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 26, 2021
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Colorado Springs Orthopaedic Group — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glendale