Jaxon Scott Mohr, DPT, PT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0017269 Issued in CO

Practice address

3854 Village Seven Rd
Colorado Springs, CO 80917-2801

Phone

(719) 574-8761

NPI assigned

Sep 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Colorado Health & Rehab LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1336542125
  Medicare reassignment NPD
• Colorado Health & Rehab LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1649875378
  NPD
• Colorado Health & Rehab LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1912596941
  NPD
• Total Function Physical Therapy, PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1568532711
  NPD (past)
• Total Function Physical Therapy, PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1902571490
  NPD (past)

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1821604919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3854 VILLAGE SEVEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809172801",
            "telephone_number": "719-574-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHR",
        "first_name": "JAXON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPT, PT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Mohler
• Carter Mohnssen, M.D.
• Steven Mohnssen, M.D.
• Mohr Hope LLC
• Felicia Mohr, DPT
• Megan Mohr
• Michael Mohr
• Michael Mohr
• Christine Mohrfeld
• Dieudonne Antoine Moise-Birch, DC

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.