Active NPI
Summer Angela Mahler, DPT
- Pediatric Physical Therapist
- Centennial, CO
National Provider Identifier
1104205533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Practice address
- 5235 S Jericho Way
Centennial, CO 80015-5224 - Phone
- (720) 233-4801
- NPI assigned
- May 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | CO | Primary |
Addresses
Primary practice location
5235 S Jericho Way
Centennial, CO 80015-5224
Mailing address
5235 S Jericho Way
Centennial, CO 80015-5224
Phone (720) 233-4801
Other names 1
- Miss Summer Angela Kaatz
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine PT LLC | Pediatrics | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1104205533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5235 S JERICHO WAY",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800155224",
"telephone_number": "720-233-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5235 S JERICHO WAY",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800155224",
"telephone_number": "720-233-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHLER",
"first_name": "SUMMER",
"middle_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-18",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUMMER",
"last_name": "KAATZ",
"middle_name": "ANGELA",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
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 May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.