Organization Active NPI

Noco Foundations Physical Therapy, LLC

  • Physical Therapist
  • Nunn, CO
National Provider Identifier
1477068872
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0012061 Issued in CO
Legal business name
NOCO FOUNDATIONS PHYSICAL THERAPY, LLC
Practice address
553 2ND St
Nunn, CO 80648-1016
Phone
(970) 371-8852
NPI assigned
Dec 6, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jennifer Thimgan, PT, DPT
Title
Owner
Phone
(970) 371-8852

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PTL.0012061 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

553 2ND St
Nunn, CO 80648-1016

Mailing address

1160 Hemlock Dr
Windsor, CO 80550-4938

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 3, 2019.

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1477068872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 HEMLOCK DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 2ND ST",
            "city": "NUNN",
            "state": "CO",
            "postal_code": "806481016",
            "telephone_number": "970-371-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOCO FOUNDATIONS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "THIMGAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-371-8852",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nunn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.