Active NPI
Levi Younger
- Mechanotherapist
- Boulder, CO
National Provider Identifier
1396304051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- Practice address
- 2305 Canyon Blvd Ste 102
Boulder, CO 80302-5651 - Phone
- (907) 350-1727
- NPI assigned
- Jun 6, 2019
- Last updated
- Jun 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | NU | Primary |
Addresses
Primary practice location
2305 Canyon Blvd Ste 102
Boulder, CO 80302-5651
Mailing address
1240 Cedar Ave Apt 32
Boulder, CO 80304-3144
Phone (907) 350-1727
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1396304051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 CEDAR AVE APT 32",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043144",
"telephone_number": "907-350-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 CANYON BLVD STE 102",
"city": "BOULDER",
"state": "CO",
"postal_code": "803025651",
"telephone_number": "907-350-1727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGER",
"first_name": "LEVI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.