Individual provider Active NPI

Cindra London, PTA

  • Physical Therapy Assistant
  • Montrose, CO
National Provider Identifier
1255005302
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
12345 Issued in CO
Practice address
611 E Star CT Ste B
Montrose, CO 81401-6704
Phone
(970) 249-1646
Fax
(970) 249-8899
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 12345 CO Primary

Addresses

Primary practice location

611 E Star CT Ste B
Montrose, CO 81401-6704

Mailing address

611 E Star CT Ste B
Montrose, CO 81401-6704
Phone (970) 249-1646

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
12345COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
In Motion Hand Therapy Inc Multi-Specialty CurrentSince Aug 8, 2021 Accepting new patients
Montrose Memorial Hospital, Inc Multi-Specialty PastSince Aug 8, 2021 Accepting new patients

Locations

611 East Star Ct
Ste B
Montrose, CO 81401
Phone (970) 249-1646

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1255005302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E STAR CT STE B",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016704",
            "telephone_number": "970-249-1646",
            "fax_number": "970-249-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E STAR CT STE B",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016704",
            "telephone_number": "970-249-1646",
            "fax_number": "970-249-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "CINDRA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "12345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.