Mountain Kids Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0009142 Issued in CO

Legal business name

MOUNTAIN KIDS PHYSICAL THERAPY, LLC

Practice address

75 Lone Wolf Court
Dillon, CO 80435-3685

Phone

(970) 368-5678

NPI assigned

Jul 17, 2014

Last updated

Jul 17, 2014By 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

Kimberly Suzanne Ramey, P.T.

Title

Owner/Physical Therapist

Phone

(970) 368-5678

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1265849616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3685",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "804353685",
            "telephone_number": "970-368-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LONE WOLF COURT",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "804353685",
            "telephone_number": "970-368-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN KIDS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "RAMEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "970-368-5678",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0009142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Dillon, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.