Transformative Pain Care and Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TRANSFORMATIVE PAIN CARE AND PHYSICAL THERAPY PLLC

Practice address

1410 Valley View Dr Ste 309
Delta, CO 81416-3130

Phone

(970) 639-1948

Fax

(970) 808-2006

NPI assigned

Jun 30, 2023

Organization subpart

No

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

Authorized official

Name

Kevin R JohnsonNPI 1710216320

Title

Physical Therapist/Ceo

Phone

(970) 208-4890

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Robb Johnson, D.P.T

  • Physical Therapist
  • Delta, CO
  • NPI 1710216320
  Medicare reassignment Care Compare group NPD Authorized official
• Brooke W. Loucks, D.P.T.

  • Physical Therapist
  • Delta, CO
  • NPI 1932208071
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1225715345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 APRICOT LN",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814163067",
            "telephone_number": "970-639-1948",
            "fax_number": "970-808-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 VALLEY VIEW DR STE 309",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814163130",
            "telephone_number": "970-639-1948",
            "fax_number": "970-808-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE PAIN CARE AND PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CEO",
        "authorized_official_telephone_number": "970-208-4890"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Scott Timothy, M.D.
• Toc, Inc (Touch of Care TCM)
• Toc, Inc (Touch of Care)
• Toc, Inc. (Touch of Care)
• Carolyn Toms
• Kimberly Jo Turecek, F.N.P.
• Donnie Wayne Turner, DOCTOR OF PHARMACY
• Larissa Umberger, PA-S3
• Uptown Smiles
• Christine Marie Urbanski, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.