NPIMap

Organization Active NPI

My Heroes, LLC

  • Physical Therapy Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1811021157
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MY HEROES, LLC
Practice address
725 S Overland Trail
Fort Collins, CO 80523-1669
Phone
(678) 984-7774
Fax
(888) 551-6210
NPI assigned
Mar 16, 2007
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Mr. George Brent Applegate, MPT, HPCSNPI 1306970629
Title
Owner
Phone
(678) 984-7774

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Physical Therapy Clinic/Center 261QP2000X PT007063 GA
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

725 S Overland Trail
Fort Collins, CO 80523-1669

Mailing address

316 S Washington Ave
Fort Collins, CO 80521-2559
Phone (678) 984-7774

Other practice location 1

4371 Powers Ferry Rd
Atlanta, GA 30327-3420
Phone (678) 984-7774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250513001078 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244512101 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Locations

725 S Overland Trl
Fort Collins, CO 80523
Phone (678) 984-7774

4371 Powers Ferry Rd
Atlanta, GA 30327
Phone (678) 984-7774

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1811021157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S WASHINGTON AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212559",
            "telephone_number": "678-984-7774",
            "fax_number": "888-551-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S OVERLAND TRAIL",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805231669",
            "telephone_number": "678-984-7774",
            "fax_number": "888-551-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4371 Powers Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303273420",
            "country_code": "US",
            "telephone_number": "678-984-7774",
            "fax_number": "888-551-6210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY HEROES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "APPLEGATE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-984-7774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT, HPCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT007063",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.