Individual provider Active NPI

Mark Plaatjes, R.P.T

  • Sports Physical Therapist
  • Boulder, CO
National Provider Identifier
1073757035
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
3580 Issued in CO
Practice address
2775 Pearl St Ste 201
Boulder, CO 80302-3811
Phone
(303) 247-0687
Fax
(303) 545-9369
NPI assigned
Apr 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 3580 CO Primary
Massage Therapist 225700000X

Addresses

Primary practice location

2775 Pearl St Ste 201
Boulder, CO 80302-3811

Mailing address

2775 Pearl St Ste 201
Boulder, CO 80302-3811
Phone (303) 247-0687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3580COMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1073757035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 PEARL ST STE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803023811",
            "telephone_number": "303-247-0687",
            "fax_number": "303-545-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 PEARL ST STE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803023811",
            "telephone_number": "303-247-0687",
            "fax_number": "303-545-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAATJES",
        "first_name": "MARK",
        "credential": "R.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "3580",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.