Randy J Junttonen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4197 Issued in CO

Practice address

1 Mercado St
Suite 201
Durango, CO 81301

Phone

(970) 385-0644

Fax

(970) 385-0620

NPI assigned

Apr 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integrated Physical Therapy Inc

  • Physical Therapist
  • Durango, CO
  • NPI 1548206691
  NPD (past) Authorized official

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1306808803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017300",
            "telephone_number": "970-259-1378",
            "fax_number": "970-385-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST",
            "address_2": "SUITE 201",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-385-0644",
            "fax_number": "970-385-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNTTONEN",
        "first_name": "RANDY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13436767",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Julian, D.O.
• Jacqueline Juliana
• Junction Creek Health and Rehabilitation Center LLC
• Junction Creek Health and Rehabilitation Center LLC
• Juniper Tree Mental Health LLC
• Courtney Anne Justice
• Brenna Mae Kahle, LSW
• Sarah Margaret Kahn, MA, LPCC
• Allison R Kain
• Krystie M Karageorge, MD

• Physical Therapist in Durango, CO
• Providers in Durango, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.

Verify at the official NPI Registry.