Individual provider Active NPI

Danielle Marie Mazur, PTA

  • Physical Therapy Assistant
  • Greenwood Village, CO
National Provider Identifier
1801310875
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0014189 Issued in CO
Practice address
8301 E Prentice Ave Ste 207
Greenwood Village, CO 80111-2905
Phone
(303) 322-8300
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0014189 CO Primary

Addresses

Primary practice location

8301 E Prentice Ave Ste 207
Greenwood Village, CO 80111-2905

Mailing address

4801 S Wadsworth Blvd Apt 6-304
Littleton, CO 80123-1376
Phone (724) 448-8553

Other practice location 1

5008 W 92nd Ave
Westminster, CO 80031-6302
Phone (303) 412-7035

Other practice location 2

3501 Highland Pl
Westminster, CO 80031-3359
Phone (303) 951-8530

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0014189COMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy, LLC PastSince Sep 17, 2018 Accepting new patients

Organizations & group practices 1

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": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801310875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S WADSWORTH BLVD APT 6-304",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231376",
            "telephone_number": "724-448-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 E PRENTICE AVE STE 207",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112905",
            "telephone_number": "303-322-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5008 W 92nd Ave",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800316302",
            "country_code": "US",
            "telephone_number": "303-412-7035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Highland Pl",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800313359",
            "country_code": "US",
            "telephone_number": "303-951-8530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0014189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.