Organization Active NPI

Wiggle Monkey Physical Therapy, PC

  • Physical Therapist
  • Golden, CO
National Provider Identifier
1053632141
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7646 Issued in CO
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

Updated by the provider on May 18, 2021

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

Authorized official

Name
Kelly Meetz, MSPTNPI 1184841546
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
24274852MedicaidCO

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.