Active NPI
Martha Tinsley Boon, DPT
- Physical Therapist
- Lafayette, CO
National Provider Identifier
1265866685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3423
- Practice address
- 1319 W Baseline Rd Ste 100
Lafayette, CO 80026-9308 - Phone
- (303) 655-8747
- Fax
- (303) 926-0184
- NPI assigned
- Aug 22, 2013
- Last updated
- Apr 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 3423 | CO | Primary |
Addresses
Primary practice location
1319 W Baseline Rd Ste 100
Lafayette, CO 80026-9308
Mailing address
7901 S Adams Way
Centennial, CO 80122-3601
Phone (303) 694-3604
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 |
|---|---|---|---|
| 3423 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1265866685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 S ADAMS WAY",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801223601",
"telephone_number": "303-694-3604",
"fax_number": "303-694-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 W BASELINE RD STE 100",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800269308",
"telephone_number": "303-655-8747",
"fax_number": "303-926-0184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOON",
"first_name": "MARTHA",
"middle_name": "TINSLEY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "3423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.