Organization Active NPI

Frontier Mobile Therapy PLLC

  • Physical Therapy Clinic/Center
  • Centennial, CO
National Provider Identifier
1013186592
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
7875 Issued in CO
Legal business name
FRONTIER MOBILE THERAPY PLLC
Practice address
7180 E Orchard Rd Ste 110
Centennial, CO 80111-1725
Phone
(303) 770-1305
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric Mundt, MSPTNPI 1578544706
Title
Owner
Phone
(303) 770-1305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 7875 CO Primary

Addresses

Primary practice location

7180 E Orchard Rd Ste 110
Centennial, CO 80111-1725

Mailing address

7180 E Orchard Rd Ste 110
Centennial, CO 80111-1725
Phone (303) 770-1305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060113000670 CO Part B Supplier - Clinic/Group Practice 3072537265 Receives reassigned benefits from 1 practitioner
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory

Locations

7200 S Alton Way
Ste B190
Centennial, CO 80112
Phone (303) 770-1305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1013186592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 E ORCHARD RD STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111725",
            "telephone_number": "303-770-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 E ORCHARD RD STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111725",
            "telephone_number": "303-770-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER MOBILE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "MUNDT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-770-1305",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "7875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.