Organization Active NPI

Optimal Mobility Physical Therapy, PLLC

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1558878660
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6611 Issued in CO
Legal business name
OPTIMAL MOBILITY PHYSICAL THERAPY, PLLC
Practice address
4697 E Evans Ave
Denver, CO 80222
Phone
(303) 809-1392
NPI assigned
Jan 10, 2018
Last updated
Jun 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Patricia M Dockter
Title
Authorized Official
Phone
(303) 809-1392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 6611 CO Primary

Addresses

Primary practice location

4697 E Evans Ave
Denver, CO 80222

Mailing address

2181 S Columbine St
Denver, CO 80210-4813

National Provider Directory

National Provider Directory

Locations

4697 E Evans Ave
Denver, CO 80222
Phone (303) 800-2829

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1558878660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 S COLUMBINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802104813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4697 E EVANS AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80222",
            "telephone_number": "303-809-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MOBILITY PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "DOCKTER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "303-809-1392"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.