Organization Active NPI

Valley Myofunctional Therapy, LLC

  • Multi-Specialty Clinic/Center
  • Basalt, CO
National Provider Identifier
1164371647
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
VALLEY MYOFUNCTIONAL THERAPY, LLC
Practice address
341 Market St
Basalt, CO 81621-7409
Phone
(303) 915-4543
NPI assigned
Jan 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Jennifer L Bauer, RDH, AOMT-CNPI 1093272379
Title
Owner
Phone
(303) 915-4543

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

341 Market St
Basalt, CO 81621-7409

Mailing address

341 Market St
Basalt, CO 81621-7409
Phone (303) 915-4543

National Provider Directory

National Provider Directory

Locations

341 Market St
Basalt, CO 81621
Phone (303) 915-4543

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": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1164371647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MARKET ST",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816217409",
            "telephone_number": "303-915-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MARKET ST",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816217409",
            "telephone_number": "303-915-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MYOFUNCTIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-915-4543",
        "authorized_official_credential": "RDH, AOMT-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.