Organization Active NPI

Mighty Milestones Pediatric Physical Therapy

  • Pediatric Physical Therapist
  • Lakewood, CO
National Provider Identifier
1083018576
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
9703 Issued in CO
Legal business name
MIGHTY MILESTONES PEDIATRIC PHYSICAL THERAPY
Practice address
10895 W 31St PL
Lakewood, CO 80215-7152
Phone
(303) 921-6878
NPI assigned
Oct 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Stephanie Stumpf, DPT
Title
Physical Therapist
Phone
(303) 921-6878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X 9703 CO Primary

Addresses

Primary practice location

10895 W 31St PL
Lakewood, CO 80215-7152

Mailing address

10895 W 31St PL
Lakewood, CO 80215-7152

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": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1083018576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10895 W 31ST PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802157152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10895 W 31ST PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802157152",
            "telephone_number": "303-921-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY MILESTONES PEDIATRIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "STUMPF",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "303-921-6878",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CO",
            "license": "9703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.