Individual provider Active NPI

Ashrin Akbar Momin, DPT

  • Physical Therapist
  • Peyton, CO
National Provider Identifier
1487391348
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0018328 Issued in CO
Practice address
7622 McLaughlin Rd
Peyton, CO 80831-4710
Phone
(719) 495-3133
Fax
(719) 471-4415
NPI assigned
May 12, 2022
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 PTL.0018328 CO Primary

Addresses

Primary practice location

7622 McLaughlin Rd
Peyton, CO 80831-4710

Mailing address

11152 Cypress Tree PT Apt 207
Colorado Springs, CO 80921-7711
Phone (409) 466-2269

Other practice location 1

117 South Elizabeth Street
Elizabeth, CO 80107-7575
Phone (303) 646-1445

Other practice location 2

12229 Voyager Pkwy Ste 150
Colorado Springs, CO 80921-3790
Phone (719) 488-0120

Other practice location 3

2816 Janitell Rd
Colorado Springs, CO 80906-4141
Phone (719) 527-0848

Other practice location 4

4025 Family Pl
Colorado Springs, CO 80920-7807
Phone (719) 471-4430

Other practice location 5

279 S Purcell Blvd # 116
Pueblo, CO 81007-5083
Phone (719) 547-2481

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125001008 AZ Practitioner - Physical Therapist in Private Practice 6002292521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0018328COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Orthopedic Physical Therapy, PLLC CurrentSince Aug 31, 2024 Accepting new patients
Whole Kids Co. PLLC PastSince May 1, 2022 Accepting new patients

Locations

23350 W Yuma Rd
Buckeye, AZ 85326
Phone (623) 547-5260

23476 N Sundance Pkwy
Buckeye, AZ 85326

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

14557 W Indian School Rd
Goodyear, AZ 85395
Phone (623) 229-7808

14557 W Indian School Rd
Ste 500
Goodyear, AZ 85395
Phone (623) 229-7808

Organizations & group practices 2

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": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1487391348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11152 CYPRESS TREE PT APT 207",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217711",
            "telephone_number": "409-466-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7622 MCLAUGHLIN RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314710",
            "telephone_number": "719-495-3133",
            "fax_number": "719-471-4415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 South Elizabeth Street",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "CO",
            "postal_code": "801077575",
            "country_code": "US",
            "telephone_number": "303-646-1445",
            "fax_number": "719-471-4415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12229 Voyager Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809213790",
            "country_code": "US",
            "telephone_number": "719-488-0120",
            "fax_number": "719-471-4415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2816 Janitell Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064141",
            "country_code": "US",
            "telephone_number": "719-527-0848",
            "fax_number": "719-471-4415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4025 Family Pl",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207807",
            "country_code": "US",
            "telephone_number": "719-471-4430",
            "fax_number": "719-471-4415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "279 S Purcell Blvd # 116",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810075083",
            "country_code": "US",
            "telephone_number": "719-547-2481",
            "fax_number": "719-471-4415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "ASHRIN",
        "middle_name": "AKBAR",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peyton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.