Active NPI
Jamie McCleary
- Physical Therapist
- Boulder, CO
National Provider Identifier
1790113694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0012226
- Practice address
- 777 29TH St Ste 102
Pelvic Therapy Specialists, PC
Boulder, CO 80303-2316 - Phone
- (303) 601-7495
- NPI assigned
- Oct 31, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0012226 | CO | Primary |
Addresses
Primary practice location
777 29TH St Ste 102
Pelvic Therapy Specialists, PC
Boulder, CO 80303-2316
Mailing address
1044 Downing St
Apt 607
Denver, CO 80218-2980
Phone (315) 529-4163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0012226 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383177600000",
"number": "1790113694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 DOWNING ST",
"address_2": "APT 607",
"city": "DENVER",
"state": "CO",
"postal_code": "802182980",
"telephone_number": "315-529-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 29TH ST STE 102",
"address_2": "PELVIC THERAPY SPECIALISTS, PC",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032316",
"telephone_number": "303-601-7495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLEARY",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-31",
"last_updated": "2013-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0012226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.