Organization Active NPI

Mountaintop Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Estes Park, CO
National Provider Identifier
1407976558
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
7376 Issued in CO
Legal business name
MOUNTAINTOP PHYSICAL THERAPY PC
Practice address
1632 Big Thompson Ave # a
Estes Park, CO 80517-8938
Phone
(970) 577-8200
Fax
(970) 577-8204
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Ms. Anne Slack, PHYSICAL THERAPIST
Title
Owner
Phone
(970) 577-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 7376 CO Primary

Addresses

Primary practice location

1632 Big Thompson Ave # a
Estes Park, CO 80517-8938

Mailing address

1632 Big Thompson Ave # a
Estes Park, CO 80517-8938
Phone (970) 577-8200

National Provider Directory

National Provider Directory

Locations

1632A Big Thompson Ave
Estes Park, CO 80517
Phone (970) 577-8200

1632 Big Thompson Ave
#A
Estes Park, CO 80517
Phone (970) 577-8200

1751 N Lake Ave
Unit 101
Estes Park, CO 80517
Phone (970) 577-8200

Practitioners & affiliated clinicians

Practitioners 7

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1407976558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 BIG THOMPSON AVE # A",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805178938",
            "telephone_number": "970-577-8200",
            "fax_number": "970-577-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 BIG THOMPSON AVE # A",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805178938",
            "telephone_number": "970-577-8200",
            "fax_number": "970-577-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINTOP PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-577-8200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "7376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estes Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.