Active NPI
Wiggle Monkey Physical Therapy, PC
- Physical Therapist
- Golden, CO
National Provider Identifier
1053632141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7646
- Legal business name
- WIGGLE MONKEY PHYSICAL THERAPY, PC
- Practice address
- 3386 Alkire Way
Golden, CO 80401-1657 - Phone
- (303) 777-4511
- NPI assigned
- Jun 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Meetz, MSPT
- Title
- Physical Therapist
- Phone
- (303) 777-4511
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7646 | CO | Primary |
Addresses
Primary practice location
3386 Alkire Way
Golden, CO 80401-1657
Mailing address
3386 Alkire Way
Golden, CO 80401-1657
Phone (303) 777-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24274852 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1276300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621296000000",
"number": "1053632141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3386 ALKIRE WAY",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804011657",
"telephone_number": "303-777-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3386 ALKIRE WAY",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804011657",
"telephone_number": "303-777-4511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIGGLE MONKEY PHYSICAL THERAPY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-12",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A",
"authorized_official_last_name": "MEETZ",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "303-777-4511",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CO",
"license": "7646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24274852",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.