Mary C Irwin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0017225 Issued in CO

Practice address

1378 Main St
Carbondale, CO 81623-1840

Phone

(970) 963-6600

NPI assigned

Oct 1, 2020

Last updated

Oct 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brownell Physical Therapy LLCGroup PAC ID 1759537954, 4 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brownell Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Carbondale, CO
  • NPI 1902179120

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Personal Rehabilitation Center, PC

  • Physical Therapist
  • Carbondale, CO
  • NPI 1285771014
  NPD

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1457958688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 VILLAGE RD",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231567",
            "telephone_number": "970-948-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 MAIN ST",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231840",
            "telephone_number": "970-963-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "MARY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Carbondale",
            "affiliation": "N",
            "address_1": "1378 Main St",
            "city": "Carbondale",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816231840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Carbondale",
            "affiliation": "N",
            "address_1": "1378 Main St",
            "city": "Carbondale",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816231840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Huebsch
• Jodi Elizabeth Huffman, BCBA
• Nicole Jeanne' Hustad
• Adam Hutchison, L.AC.
• Innovage Home Care Aspen LLC
• Eryn Jacoby
• Jaywalker Lodge Inc
• Jaywalker Lodge, Inc.
• Jaywalker Lodge, LLC
• Jobody Pilates

• Physical Therapist in Carbondale, CO
• Providers in Carbondale, 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 1, 2020; 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.