Active NPI
Nancy Ford Mulligan, PT, DPT
- Physical Therapist
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3073
- Practice address
- 4800 Baseline Rd
Suite D 107
Boulder, CO 80303-2699 - Phone
- (303) 499-6818
- NPI assigned
- Nov 7, 2006
- Last updated
- Apr 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3073 | CO | Primary |
| Ergonomics Physical Therapist | 2251E1200X | 3073 | CO | |
| Geriatric Physical Therapist | 2251G0304X | 3073 | CO | |
| Hand Physical Therapist | 2251H1200X | 3073 | CO | |
| Neurology Physical Therapist | 2251N0400X | 3073 | CO | |
| Sports Physical Therapist | 2251S0007X | 3073 | CO | |
| Orthopedic Physical Therapist | 2251X0800X | 3073 | CO |
Addresses
Primary practice location
4800 Baseline Rd
Suite D 107
Boulder, CO 80303-2699
Mailing address
4800 Baseline Rd
Suite D 107
Boulder, CO 80303-2699
Phone (303) 499-6818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C811082 | Other | CO | MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 Regis Blvd
Suite LDC 115
Denver, CO 80221-8926
Phone (303) 870-3214
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regis University | Physical Therapist | Current | Accepting new patients |
| Waldron's Peak Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Pro Physical Therapy, PC | Past | Accepting new patients |
Locations
5387 Manhattan Cir
#100A
Boulder, CO 80303
5387 Manhattan Cir
Ste 100A
Boulder, CO 80303
Phone (303) 499-6818
3333 Regis Blvd
#G4
Denver, CO 80221
Phone (303) 458-4986
3333 Regis Blvd
Ste Ldc
Denver, CO 80221
Phone (303) 870-3214
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Denver, CO
- NPI 1427350487
-
- Physical Therapist
- Boulder, CO
- NPI 1548341951
-
- Physical Therapy Clinic/Center
- Boulder, CO
- NPI 1306067830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1184793820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 BASELINE RD",
"address_2": "SUITE D 107",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032699",
"telephone_number": "303-499-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 BASELINE RD",
"address_2": "SUITE D 107",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032699",
"telephone_number": "303-499-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIGAN",
"first_name": "NANCY",
"middle_name": "FORD",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "3073",
"primary": true
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "CO",
"license": "3073",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CO",
"license": "3073",
"primary": false
},
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "CO",
"license": "3073",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "CO",
"license": "3073",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CO",
"license": "3073",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "3073",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "C811082",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.