Monarch Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11189 Issued in CO

Legal business name

MONARCH PHYSICAL THERAPY, INC.

Practice address

6234 Olde Stage Rd
Boulder, CO 80302-9498

Phone

(720) 545-6179

Fax

(866) 568-6675

NPI assigned

Jun 10, 2013

Organization subpart

No

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

Authorized official

Name

Kristen McKernan, P.T.NPI 1417189630

Title

Owner, President

Phone

(720) 545-6179

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Beth McKernan, PT

  • Physical Therapist
  • Boulder, CO
  • NPI 1417189630
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1457799637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6234 OLDE STAGE RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803029498",
            "telephone_number": "720-545-6179",
            "fax_number": "866-568-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234 OLDE STAGE RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803029498",
            "telephone_number": "720-545-6179",
            "fax_number": "866-568-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "MCKERNAN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "720-545-6179",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystin Alexandra Moltner, M.S.
• Momentum Counseling and Consulting LLC
• Momentum Counseling and Consulting LLC
• Kathleen Monahan, DO
• Monarch Behavioral Therapy Bii, LLC
• Monique Vincent Counseling, LLC
• James Bradley Monk, D.D.S.
• William Jay Monroe, LCSW
• Lynda J. Monsey, RN, NP, MSN
• Gary Paul Montague

• Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.