Active NPI
Alex Willen, LMT, BCSI
- Mechanotherapist
- Fort Collins, CO
National Provider Identifier
1114677630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MT.0022398
- Practice address
- 300 E Horsetooth Rd Ste 200
Fort Collins, CO 80525-3154 - Phone
- (845) 531-9558
- NPI assigned
- Mar 27, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MT.0022398 | CO | Primary |
Addresses
Primary practice location
300 E Horsetooth Rd Ste 200
Fort Collins, CO 80525-3154
Mailing address
2807 Middlesborough CT
Fort Collins, CO 80525-2331
Phone (845) 531-9558
Other practice location 1
100 Arapahoe Ave Ste 12
Boulder, CO 80302-5862
Phone (845) 531-9558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15393880 | Other | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Alex@WholesomeTherapies.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0022398 | CO | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648339200000",
"number": "1114677630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 MIDDLESBOROUGH CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252331",
"telephone_number": "845-531-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E HORSETOOTH RD STE 200",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253154",
"telephone_number": "845-531-9558"
}
],
"practiceLocations": [
{
"address_1": "100 Arapahoe Ave Ste 12",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803025862",
"country_code": "US",
"telephone_number": "845-531-9558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLEN",
"first_name": "ALEX",
"credential": "LMT, BCSI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-27",
"last_updated": "2022-03-27",
"certification_date": "2022-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "CO",
"license": "MT.0022398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15393880",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Alex@WholesomeTherapies.com",
"affiliation": "N",
"endpointDescription": "Private work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "written communications, links and attachments to documents and files",
"address_1": "100 Arapahoe Ave Ste 12",
"city": "Boulder",
"state": "CO",
"country_code": "US",
"postal_code": "803025862",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.