Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dynamic Athlete PLLC

Organization Sports Medicine (Internal Medicine) Physician · NPI 1841986494

Dynamic Athlete PLLC provides Sports Medicine (Internal Medicine) Physician services in Boulder, Colorado. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1790 30th St Ste 270
Boulder, CO 80301-1085
Phone: (303) 997-1733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X

Record details

NPI number1841986494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Allison — Practice Manager · (303) 997-1733
NPI enumeratedApril 17, 2023
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025
Mailing address1790 30th St Ste 270, Boulder, CO 80301-1085

Other providers in Boulder