Organization Active NPI

Inspire Sports Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Longmont, CO
National Provider Identifier
1336736636
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
INSPIRE SPORTS PHYSICAL THERAPY LLC
Practice address
1623 Vista View Dr Unit 1
Longmont, CO 80504-5399
Phone
(303) 578-6459
Fax
(720) 340-1822
NPI assigned
Dec 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Megan Jaeckel, PT, DPTNPI 1760956593
Title
Owner
Phone
(303) 717-3353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1623 Vista View Dr Unit 1
Longmont, CO 80504-5399

Mailing address

1623 Vista View Dr Unit 1
Longmont, CO 80504-5399
Phone (303) 717-3353

National Provider Directory

National Provider Directory

Locations

1623 Vista View Dr
Unit 1
Longmont, CO 80504
Phone (303) 578-6459

2111 Mountain View Ave
Longmont, CO 80501

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1336736636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 VISTA VIEW DR UNIT 1",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045399",
            "telephone_number": "303-717-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 VISTA VIEW DR UNIT 1",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045399",
            "telephone_number": "303-578-6459",
            "fax_number": "720-340-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE SPORTS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "JAECKEL",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-717-3353",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.