Organization Active NPI

Mile High Physical Therapy, LLC

  • Specialist
  • Denver, CO
National Provider Identifier
1114174109
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6156 Issued in CO
Legal business name
MILE HIGH PHYSICAL THERAPY, LLC
Practice address
495 Uinta Way Ste 110
Denver, CO 80230-7198
Phone
(303) 856-3299
Fax
(303) 856-7787
NPI assigned
Aug 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Dr. Paden WolfeNPI 1154470698
Title
Physical Therapist
Phone
(303) 856-3299

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 6156 CO Primary

Addresses

Primary practice location

495 Uinta Way Ste 110
Denver, CO 80230-7198

Mailing address

495 Uinta Way Ste 110
Denver, CO 80230-7198
Phone (303) 856-3299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090219000311 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941277305 Receives reassigned benefits from 4 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

495 Uinta Way
Ste 110
Denver, CO 80230
Phone (303) 856-3299

Practitioners & affiliated clinicians

Practitioners 5

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": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1114174109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 UINTA WAY STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307198",
            "telephone_number": "303-856-3299",
            "fax_number": "303-856-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 UINTA WAY STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307198",
            "telephone_number": "303-856-3299",
            "fax_number": "303-856-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "PADEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "303-856-3299",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "6156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.