OrganizationActive
Prodynamics Sports & Therapeutic Massage
NPI 1578953634 · Pain Clinic/Center · Aurora, CO
Provider details
- NPI number
- 1578953634
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Poncar, Massage Therapist(303) 332-1903
- License
- MT.0003476 (CO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6180 S Gun Club Rd Unit L4
Aurora, CO 80016-5310
Phone: (303) 332-1903
Street-level locationGet directions
Mailing address
1050 S Walden Way Apt 104
Aurora, CO 80017-2641
Registry dates
- Enumerated
- 2015-01-28
- Last updated
- 2015-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.