Organization Active NPI

Totally Mobile PT, LLC

  • Physical Therapy Clinic/Center
  • Aurora, CO
National Provider Identifier
1629408133
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
6246 Issued in CO
Legal business name
TOTALLY MOBILE PT, LLC
Practice address
1577 S Jamaica St
Aurora, CO 80012-5019
Phone
(720) 201-1300
Fax
(888) 871-1255
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Cheryl Parent, PTNPI 1023160173
Title
PT/Owner
Phone
(720) 201-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 6246 CO Primary

Addresses

Primary practice location

1577 S Jamaica St
Aurora, CO 80012-5019

Mailing address

1577 S Jamaica St
Aurora, CO 80012-5019
Phone (720) 201-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170811001606 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7618248592 Receives reassigned benefits from 1 practitioner
Practice locations: Aurora, CO

National Provider Directory

National Provider Directory

Locations

2121 S Oneida St
Ste 521
Denver, CO 80224
Phone (303) 759-2760

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1629408133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 S JAMAICA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125019",
            "telephone_number": "720-201-1300",
            "fax_number": "888-871-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 S JAMAICA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125019",
            "telephone_number": "720-201-1300",
            "fax_number": "888-871-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALLY MOBILE PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2023-09-06",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "PARENT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "720-201-1300",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "6246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.