My Physical Therapist Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6503 Issued in CO

Legal business name

MY PHYSICAL THERAPIST INC

Practice address

2152 E 88TH Ave
Thornton, CO 80229-5023

Phone

(303) 227-0400

Fax

(303) 227-0402

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Michael James Baum, MSPT

Title

President

Phone

(303) 227-0400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1316129653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 MOUNTAIN GOLD RUN",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238757",
            "telephone_number": "303-451-5539",
            "fax_number": "303-227-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 E 88TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802295023",
            "telephone_number": "303-227-0400",
            "fax_number": "303-227-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PHYSICAL THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "BAUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-227-0400",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.