Active NPI
Deborah Kaye Mogor
- Physical Therapy Assistant
- Aurora, CO
National Provider Identifier
1265717243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8037912-2402
- Practice address
- 4804 S Himalaya CT
Aurora, CO 80015-6610 - Phone
- (303) 788-1666
- NPI assigned
- Oct 20, 2011
- 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 Therapy Assistant | 225200000X | 8037912-2402 | UT | Primary |
Addresses
Primary practice location
4804 S Himalaya CT
Aurora, CO 80015-6610
Mailing address
4804 S Himalaya CT
Aurora, CO 80015-6610
Phone (303) 788-1666
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8037912-2402 | UT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1265717243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4804 S HIMALAYA CT",
"city": "AURORA",
"state": "CO",
"postal_code": "800156610",
"telephone_number": "303-788-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4804 S HIMALAYA CT",
"city": "AURORA",
"state": "CO",
"postal_code": "800156610",
"telephone_number": "303-788-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGOR",
"first_name": "DEBORAH",
"middle_name": "KAYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "UT",
"license": "8037912-2402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.