Individual provider Active NPI

Baker Mulherin, DPT

  • Physical Therapist
  • Longmont, CO
National Provider Identifier
1104680628
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0019650 Issued in CO
Practice address
275 S Main St Ste 208
Longmont, CO 80501-6461
Phone
(303) 776-3800
NPI assigned
Feb 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0019650 CO Primary

Addresses

Primary practice location

275 S Main St Ste 208
Longmont, CO 80501-6461

Mailing address

1751 Silver Leaf Dr
Loveland, CO 80538-4241
Phone (615) 497-1537

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

275 S Main St
Suite 208
Longmont, CO 80501-6461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0019650COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Physical Therapy & Sports Medicine LLC Physical Therapist CurrentSince Feb 21, 2024 Accepting new patients
Altitude Physical Therapy & Sports Medicine LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

933 Alpine Ave
Boulder, CO 80304
Phone (303) 444-0378

275 S Main St
Ste 208
Longmont, CO 80501
Phone (303) 776-3800

275 S Main St
Ste 200
Longmont, CO 80501

Organizations & group practices 2

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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1104680628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 SILVER LEAF DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384241",
            "telephone_number": "615-497-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S MAIN ST STE 208",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016461",
            "telephone_number": "303-776-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHERIN",
        "first_name": "BAKER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.