Individual provider Active NPI

Monique Siebenthal, PT

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1457653586
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11019 Issued in CO
Practice address
3451 S Chambers Rd
Aurora, CO 80014-5073
Phone
(303) 680-6121
Fax
(303) 680-8627
NPI assigned
Nov 22, 2010
Last updated
Jul 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11019 CO Primary

Addresses

Primary practice location

3451 S Chambers Rd
Aurora, CO 80014-5073

Mailing address

3451 S Chambers Rd
Aurora, CO 80014-5073
Phone (303) 680-6121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110610000052 CO Practitioner - Physical Therapist in Private Practice 8224215736 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11019COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy & Sports Training, LLC CurrentSince Sep 10, 2019 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Physical Therapist CurrentSince Aug 23, 2016 Accepting new patients
Peak Performance Physical Therapy & Sports Training, LLC Physical Therapist CurrentSince Sep 10, 2019 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Current Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Physical Therapist CurrentSince Aug 23, 2016 Accepting new patients
Peak Performance Physical Therapy & Sports Training, LLC Physical Therapist Current Accepting new patients

Locations

8025 Sheridan Blvd
Unit G
Arvada, CO 80003
Phone (720) 372-4973

1302 S Chambers Rd
Aurora, CO 80017
Phone (303) 521-3155

3750 Dacoro Ln
Ste 130
Castle Rock, CO 80109
Phone (303) 552-3440

3911 Ambrosia St
Ste 102
Castle Rock, CO 80109
Phone (303) 870-8242

5570 Powers Center Pt
Colorado Springs, CO 80920
Phone (719) 266-6022

200 Quebec St
Bldg 600
Denver, CO 80230
Phone (303) 341-0369

200 Quebec St
Ste 215
Denver, CO 80230
Phone (303) 341-0369

3451 S Chambers Rd
Denver, CO 80014
Phone (303) 680-6121

10450 Park Meadows Dr
Ste 103
Lone Tree, CO 80124
Phone (303) 754-5222

10345 Parkglenn Way
Ste 220
Parker, CO 80138
Phone (303) 840-9202

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1457653586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 S CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145073",
            "telephone_number": "303-680-6121",
            "fax_number": "303-680-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 S CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145073",
            "telephone_number": "303-680-6121",
            "fax_number": "303-680-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBENTHAL",
        "first_name": "MONIQUE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.