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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

400 S Colorado Blvd Ste 640
Glendale, CO 80246-1239
Phone: (303) 320-4450
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
Mailing address400 S Colorado Blvd Ste 640, Glendale, CO 80246-1239

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