Mountain Air Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2421 Issued in CO

Legal business name

MOUNTAIN AIR PHYSICAL THERAPY PC

Practice address

2346 Broadway St
Suite 1
Boulder, CO 80304-4107

Phone

(303) 444-4145

Fax

(303) 444-4145

NPI assigned

Aug 4, 2008

Last updated

Aug 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Anne V Hanks, PTNPI 1114984325

Title

Owner

Phone

(303) 444-4145

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anne V Hanks, PT

  • Specialist
  • Boulder, CO
  • NPI 1114984325
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1215193719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-546-9158",
            "fax_number": "303-546-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 BROADWAY ST",
            "address_2": "SUITE 1",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044107",
            "telephone_number": "303-444-4145",
            "fax_number": "303-444-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN AIR PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "HANKS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-444-4145",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Renee Mosher, RN
• Matthew Timothy Mosher
• Emily E Mosman, NP
• Heather Moss
• Deborahlise Mota
• Mountain Ascent Counseling PLLC
• Mountain Freedom Care LLC
• Mountain States Psychiatry PLLC (Mountain States Psychiatry)
• Mountain View Dermatology PC
• Mountain West Dialysis Services LLC (Boulder Dialysis Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.