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

Connor Thomas Wall

Individual provider Physical Therapist · NPI 1821693995

Connor Thomas Wall is a Physical Therapist in Private Practice in Carbondale, Colorado. Qualified in 2020, 6 years ago. Practices with Vail Clinic Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2020
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Practice location Address checks out

564 Highway 133 La Fontana Plz
Carbondale, CO 81623
Phone: (970) 963-2700
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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 0017394 (CO)

Record details

NPI number1821693995
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 4, 2020
Last updated in NPPESDecember 4, 2020
Certification dateDecember 2, 2020
Mailing address907 Village Rd, Carbondale, CO 81623-1567

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Vail Clinic Inc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Carbondale