Jonathan Oldham, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

6917 Issued in CO

Practice address

2955 Baseline Rd
Boulder, CO 80303-2356

Phone

(303) 444-8707

Fax

(303) 444-8109

NPI assigned

Dec 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Alta Physical Therapy PCGroup PAC ID 0547253957, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alta Physical Therapy PC

  • Specialist
  • Boulder, CO
  • NPI 1578675120
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1437332764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 BASELINE RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032356",
            "telephone_number": "303-444-8707",
            "fax_number": "303-444-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 BASELINE RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032356",
            "telephone_number": "303-444-8707",
            "fax_number": "303-444-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "JONATHAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "6917",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla May Ogden, RN
• Alexandra McArdle Ogsbury, LMT
• Mikayla Oko, MA ESE
• Erin Elizabeth Olander, M.S. O.T.R.
• Deborah Worth Olcott, LPC
• Katherine E Oleary, PT
• Cheryl Ann Olin
• Tania Olivares
• Susan Jane Oliver, M.D.
• Molly Olk

• Specialist in Boulder, CO
• Providers in Boulder, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.