Individual provider Active NPI

Lauren Marie Muir, D.P.T

  • Physical Therapist
  • Fort Defiance, AZ
National Provider Identifier
1730467473
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11233 Issued in CO
Practice address
Corner of RT N12 and N7
Fort Defiance, AZ 86504
Phone
(928) 729-8810
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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 11233 CO Primary

Addresses

Primary practice location

Corner of RT N12 and N7
Fort Defiance, AZ 86504

Mailing address

PO Box 589
Fort Defiance Indian Hospital Board, Inc
Fort Defiance, AZ 86504
Phone (928) 729-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130829000522 CO Practitioner - Physical Therapist in Private Practice 4284876236 Reassigns benefits to 1 organization
I20140212000654 TX Practitioner - Physical Therapist in Private Practice 4284876236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Rehab and Fitness Joint IncGroup PAC ID 7214309962, 3 clinicians
Ahtna T' Aene Nene'Group PAC ID 3072404607, 14 clinicians

Practice addresses (Care Compare)

2839 Cornerstone Dr
Suite 3
Pagosa Springs, CO 81147-8215
Phone (970) 507-8668

700 N Henson St
Lake City, CO 81235-5134
Phone (970) 507-8668

Mile 111 5 Richardson Hwy
Copper River Native Association
Copper Center, AK 99573-0508
Phone (907) 822-5241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11233COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Rehab and Fitness Joint, Inc. Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
In Balance Physical Therapy LLC PastSince Sep 17, 2023 Accepting new patients

Locations

2839 Cornerstone Dr
Ste 3
Pagosa Springs, CO 81147
Phone (303) 880-8366

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1730467473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "address_2": "FORT DEFIANCE INDIAN HOSPITAL BOARD, INC",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF RT N12 AND N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUIR",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Defiance, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.