Active NPI
Richard Chubbs, PTA
- Physical Therapy Assistant
- Boulder, CO
National Provider Identifier
1295939841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT-5351
- Practice address
- 2121 Mesa Dr
Boulder, CO 80304-3621 - Phone
- (720) 565-2693
- Fax
- (720) 565-2693
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- 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 | AT-5351 | CA | Primary |
Addresses
Primary practice location
2121 Mesa Dr
Boulder, CO 80304-3621
Mailing address
3070 Harvest Cir
Dacono, CO 80514-8515
Phone (303) 833-9240
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 |
|---|---|---|---|
| AT-5351 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295939841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3070 HARVEST CIR",
"city": "DACONO",
"state": "CO",
"postal_code": "805148515",
"telephone_number": "303-833-9240",
"fax_number": "303-833-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 MESA DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043621",
"telephone_number": "720-565-2693",
"fax_number": "720-565-2693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUBBS",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT-5351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.