Active NPI
Chantal Marie McDonald, M.S.P.T.
- Physical Therapist
- Longmont, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3021
- Practice address
- 1551 Professional LN
#145
Longmont, CO 80501-6972 - Phone
- (720) 494-3290
- Fax
- (720) 494-3294
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3021 | CO | Primary |
Addresses
Primary practice location
1551 Professional LN
#145
Longmont, CO 80501-6972
Mailing address
6979 S Holly Cir
Ste 105
Centennial, CO 80112-1577
Phone (303) 694-2295
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, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
315 W S Boulder Rd
Suite 100
Louisville, CO 80027-1157
Phone (303) 666-4151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3021 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coal Creek Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Coal Creek Diagnostics, LLC | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Locations
315 W South Boulder Rd
Ste 100
Louisville, CO 80027
Phone (303) 666-4151
Organizations & group practices 4
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
- Louisville, CO
- NPI 1740238120
-
- Diagnostic Ultrasound Physician
- Louisville, CO
- NPI 1366941171
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Longmont, CO
- NPI 1750337358
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1225049158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6979 S HOLLY CIR",
"address_2": "STE 105",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121577",
"telephone_number": "303-694-2295",
"fax_number": "303-694-1843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 PROFESSIONAL LN",
"address_2": "#145",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805016972",
"telephone_number": "720-494-3290",
"fax_number": "720-494-3294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "CHANTAL",
"middle_name": "MARIE",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "3021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.