Individual provider Active NPI

Jami Mason, PHYSICAL THERAPIST

  • Pediatric Physical Therapist
  • Westminster, CO
National Provider Identifier
1487845715
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
7970 Issued in CO
Practice address
11325 Quivas Way
Westminster, CO 80234-2618
Phone
(303) 520-2114
NPI assigned
Aug 1, 2007
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0007970 CO
Pediatric Physical Therapist 2251P0200X 7970 CO Primary

Addresses

Primary practice location

11325 Quivas Way
Westminster, CO 80234-2618

Mailing address

11325 Quivas Way
Westminster, CO 80234-2618
Phone (303) 520-2114

Other identifiers 1

IdentifierTypeStateIssuer
9000167718MedicaidCO

Other names 1

  • Jami Bunge Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909001804 CO Practitioner - Physical Therapist in Private Practice 9537498290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11325 Quivas Way
Westminster, CO 80234-2618
Phone (303) 520-2114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0007970COMDPhysical Therapist
7970COMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Let's Move Pediatric Physical Therapy Physical Therapist CurrentSince Oct 25, 2018 Accepting new patients
Mustard Seed Wellness, PC Past Accepting new patients
Dan P. McLellan LTD Past Accepting new patients
Impact Sports Medicine PC Past Accepting new patients
Dan P. McLellan LTD Past Accepting new patients

Organizations & group practices 5

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1487845715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 QUIVAS WAY",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342618",
            "telephone_number": "303-520-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 QUIVAS WAY",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342618",
            "telephone_number": "303-520-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JAMI",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0007970",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CO",
            "license": "7970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000167718",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMI",
            "last_name": "BUNGE",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.