My Heroes, LLC

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

Organization subpart

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Brent Applegate, MPT

  • Physical Therapist
  • Atlanta, GA
  • NPI 1306970629

  CO

  Medicare reassignment Authorized official
• Elizabeth Brooke Ampe, OTR

  • Occupational Therapist
  • Fort Collins, CO
  • NPI 1598018293
  NPD (past)
• Sydney Renee Bennett, OTR/L

  • Pediatric Occupational Therapist
  • Fort Collins, CO
  • NPI 1306347067
  NPD (past)
• Gina Nicole Guilliams, OTR/L

  • Occupational Therapist
  • Windsor, CO
  • NPI 1497523351
  NPD (past)
• Jadyn Lewis, MA, CCC-SLP

  • Speech-Language Pathologist
  • Loveland, CO
  • NPI 1821874686
  NPD (past)
• Emma Grace Kroger McDonald, OTR/L

  • Occupational Therapist
  • Denver, CO
  • NPI 1144866559
  NPD (past)
• Staci Quillen, COTA/L

  • Occupational Therapy Assistant
  • Longmont, CO
  • NPI 1225576473
  NPD (past)
• Teal Hannah Radford, M.A.

  • Speech-Language Pathologist
  • Fort Collins, CO
  • NPI 1841649613
  NPD (past)
• Felicia Allgood, PTA, CPT

  • Physical Therapy Assistant
  • Atlanta, GA
  • NPI 1528796489
  NPD (past)
• Madison Crymes, OTD

  • Occupational Therapist
  • Atlanta, GA
  • NPI 1336934702
  NPD (past)
• Andrea Gilkey, OTA

  • Occupational Therapy Assistant
  • Dallas, GA
  • NPI 1437604055
  NPD (past)
• Katie Marie Krauseneck, MS, OTR/L

  • Occupational Therapist
  • Sterling Heights, MI
  • NPI 1487958203
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148541482B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GA PROVIDER ID",
            "identifier": "52704274",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Musfeldt, CSW
• Jennifer L Musgrave, PA-C
• Stacy Musial, LCSW
• Mari Schlie Mutter, FNP-BC
• Terry Mwanache
• My Local Colorado Dental Practice, LLC
• My Local Colorado Dental Practice, LLC
• Alexander Nelson Myers, M.D.
• April Myers
• Kimberly Anne Myers, F10220007

• Physical Therapy Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• 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.