NPIMap

Organization Active NPI

Mountain Valley Physical Therapy PC

Doing business as Mountain Valley Physical Therapy

  • Orthopedic Physical Therapist
  • Denver, CO
National Provider Identifier
1881776748
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
7169 Issued in CO
Legal business name
MOUNTAIN VALLEY PHYSICAL THERAPY PC
Doing business as
Mountain Valley Physical Therapy
Practice address
910 S Dexter St
Denver, CO 80246-2605
Phone
(303) 758-6878
Fax
(303) 757-6859
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Bold Ellis, MPT
Title
President
Phone
(303) 888-2993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 7169 CO Primary

Addresses

Primary practice location

910 S Dexter St
Denver, CO 80246-2605

Mailing address

910 S Dexter St
Denver, CO 80246-2605
Phone (303) 758-6878

Other names 1

  • Mountain Valley Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

250 Steele St
Ste 300
Denver, CO 80206
Phone (303) 758-6878

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881776748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S DEXTER ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462605",
            "telephone_number": "303-758-6878",
            "fax_number": "303-757-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S DEXTER ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462605",
            "telephone_number": "303-758-6878",
            "fax_number": "303-757-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-888-2993",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "7169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Valley Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.