Active NPI
Mountain Time Physical Therapy PC
- Physical Therapist
- La Veta, CO
National Provider Identifier
1700613973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MOUNTAIN TIME PHYSICAL THERAPY PC
- Practice address
- 127 W Ryus Ave
La Veta, CO 81055 - Phone
- (412) 760-0535
- NPI assigned
- Sep 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Slifko
- Title
- President
- Phone
- (412) 760-0535
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
127 W Ryus Ave
La Veta, CO 81055
Mailing address
PO Box 548
La Veta, CO 81055-0548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapist
- Colorado City, CO
- NPI 1487596029
O20250106002953
National Provider Directory
National Provider Directory- Tax ID family
- Mountain Time Physical Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Colorado City, CO
- NPI 1487596029
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- New Castle, CO
- NPI 1215535901
-
- Physical Therapy Assistant
- La Veta, CO
- NPI 1376420679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734566400000",
"number": "1700613973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 548",
"city": "LA VETA",
"state": "CO",
"postal_code": "810550548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 W RYUS AVE",
"city": "LA VETA",
"state": "CO",
"postal_code": "81055",
"telephone_number": "412-760-0535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN TIME PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-19",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A",
"authorized_official_last_name": "SLIFKO",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "412-760-0535"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Veta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.