Jennifer Mondello, PT,DPT, NCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12677 Issued in CO

Practice address

811 Brickyard Cir
Golden, CO 80403-8058

Phone

(541) 951-8170

NPI assigned

Nov 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1205233756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18995 W 62ND AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031081",
            "telephone_number": "303-884-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 BRICKYARD CIR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804038058",
            "telephone_number": "541-951-8170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Commonwealth Ave Rear",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022151394",
            "country_code": "US",
            "telephone_number": "617-358-3700",
            "fax_number": "617-358-3710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 W Hampden Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801102166",
            "country_code": "US",
            "telephone_number": "303-788-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDELLO",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PT,DPT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-28",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "12677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Vance Mitchell Jr., M.D.
• Jennifer Elizabeth Mitkowski, PA-C
• Nancy Mlynarczyk, NP
• Catherine Moden, PH.D.
• Robert Z Moghim, M.D.
• Susan Marie Monroe, M.A., CCC-SLP
• Carla Moon, LMT
• Laura Mooney
• Laura Moore, LMT, LE
• Susan Dean Moore, RN

• Physical Therapist in Golden, CO
• Providers in Golden, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.