Active NPI
Wellness Professionals
- Physical Therapist
- Longmont, CO
National Provider Identifier
1740346501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- WELLNESS PROFESSIONALS
- Practice address
- 16 Mountain View Ave Ste 102
Longmont, CO 80501-3420 - Phone
- (303) 702-1991
- Fax
- (303) 776-1891
- NPI assigned
- Dec 28, 2006
- 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
- Gary Peterson
- Title
- Owner
- Phone
- (303) 702-1991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
16 Mountain View Ave Ste 102
Longmont, CO 80501-3420
Mailing address
833 Independence Dr
Longmont, CO 80501-3926
Phone (303) 702-1991
Other names 1
- Energia Stress Management Center Gary Peterson
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1740346501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 INDEPENDENCE DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013926",
"telephone_number": "303-702-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MOUNTAIN VIEW AVE STE 102",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013420",
"telephone_number": "303-702-1991",
"fax_number": "303-776-1891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS PROFESSIONALS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-702-1991"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Energia Stress Management Center Gary Peterson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.