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

Mr. Konrad John Weatherhogg, LLB, BSC, SRP, MCSP

Individual provider Physical Therapist · NPI 1487737292

Mr. Konrad John Weatherhogg, LLB, BSC, SRP, MCSP is a Physical Therapist in Private Practice in Greeley, Colorado. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2018, 8 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado and North Carolina.

Years since qualifying
8
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
CO, NC
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

6767 29th St Fl 1
Greeley, CO 80634-5474
Phone: (970) 652-2477
Fax: (970) 652-2777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 10511 (NC)
Physical Therapist Taxonomy 225100000X · Licence PTL.0014640 (CO)

Record details

NPI number1487737292
Entity typeIndividual (Type 1)
GenderMale
Credentials LLB , BSC , SRP , MCSP
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2018 (8 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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