Breann Kathleen Vander Molen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0018401 Issued in CO

Practice address

19284 Cottonwood Dr Ste 203
Parker, CO 80138-3881

Phone

(720) 788-7365

Fax

(720) 294-1426

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Breann Kathleen Fox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Castle Rock Therapies, LLC

  • Physical Therapist
  • Castle Rock, CO
  • NPI 1588243653
  NPD
• Castle Rock Therapies, LLC

  • Pediatric Occupational Therapist
  • Parker, CO
  • NPI 1992450076
  NPD (past)

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1891434874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD PARK PLZ STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041885",
            "telephone_number": "720-788-7365",
            "fax_number": "720-294-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19284 COTTONWOOD DR STE 203",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383881",
            "telephone_number": "720-788-7365",
            "fax_number": "720-294-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER MOLEN",
        "first_name": "BREANN",
        "middle_name": "KATHLEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0018401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANN",
            "last_name": "FOX",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sally Van Raemdonck, DPT
• Christopher Van Thiel, DPT
• Lori Vanacker, APN
• Vanda Vanbibber, PMHNP-BC
• Lisa Vander Griend
• Vanguard Medical Specialists, LLC
• April Vargas, RN
• Varsity Health
• Varsity Health
• Varsity Health

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.