Individual provider Active NPI

Robert Quinlan, RMT

  • Mechanotherapist
  • Bayfield, CO
National Provider Identifier
1205258555
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MT.0015272 Issued in CO
Practice address
800 Heartwood Unit 12
Bayfield, CO 81122-9382
Phone
(970) 884-2332
NPI assigned
Jan 6, 2014
Last updated
Jan 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MT.0015272 CO Primary

Addresses

Primary practice location

800 Heartwood Unit 12
Bayfield, CO 81122-9382

Mailing address

800 Heartwood
Unit 12
Bayfield, CO 81122-9381
Phone (970) 884-2332

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

LicenseStateTypeSpecialty
MT.0015272COMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1205258555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HEARTWOOD",
            "address_2": "UNIT 12",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229381",
            "telephone_number": "970-884-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HEARTWOOD UNIT 12",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229382",
            "telephone_number": "970-884-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLAN",
        "first_name": "ROBERT",
        "credential": "RMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CO",
            "license": "MT.0015272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.