Active NPI
Mona Threlkeld, P.T.
- Physical Therapist
- Delta, CO
National Provider Identifier
1376905562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL 0008848
- Practice address
- 708 1250 Rd
Delta, CO 81416-9109 - Phone
- (970) 210-8679
- NPI assigned
- Mar 25, 2016
- Sex
- Female
- 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 Therapist | 225100000X | PTL 0008848 | CO | Primary |
Addresses
Primary practice location
708 1250 Rd
Delta, CO 81416-9109
Mailing address
750 8TH St
Olathe, CO 81425-1805
Phone (970) 323-5504
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 |
|---|---|---|---|
| PTL 0008848 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1376905562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 8TH ST",
"city": "OLATHE",
"state": "CO",
"postal_code": "814251805",
"telephone_number": "970-323-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 1250 RD",
"city": "DELTA",
"state": "CO",
"postal_code": "814169109",
"telephone_number": "970-210-8679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRELKELD",
"first_name": "MONA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-25",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL 0008848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.