Individual provider Active NPI

Summer Mooney, DPT

  • Physical Therapist
  • Parker, CO
National Provider Identifier
1306436928
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017258 Issued in CO
Practice address
12919 Stroh Ranch CT Unit F
Parker, CO 80134-7709
Phone
(720) 788-7365
Fax
(720) 294-1426
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0017258 CO Primary

Addresses

Primary practice location

12919 Stroh Ranch CT Unit F
Parker, CO 80134-7709

Mailing address

2 Oakwood Park PLZ Ste 200
Castle Rock, CO 80104-1885
Phone (720) 788-7365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719002889 CO Practitioner - Physical Therapist in Private Practice 8224442017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castle Rock Therapies, LLCGroup PAC ID 3971903477, 29 clinicians

Practice addresses (Care Compare)

12919 Stroh Ranch CT
Unit F
Parker, CO 80134-7709
Phone (720) 788-7365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Rock Therapies, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Castle Rock Therapies, LLC PastSince Jun 5, 2023 Accepting new patients

Locations

4700 Castleton Way
Ste 300
Castle Rock, CO 80109
Phone (720) 788-7365

2 Oakwood Park Plz
Ste 200
Castle Rock, CO 80104
Phone (720) 788-7365

12919 Stroh Ranch Ct
Unit F
Parker, CO 80134
Phone (303) 841-7737

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1306436928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD PARK PLZ STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041885",
            "telephone_number": "720-788-7365",
            "fax_number": "720-294-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12919 STROH RANCH CT UNIT F",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347709",
            "telephone_number": "720-788-7365",
            "fax_number": "720-294-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "SUMMER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.