Individual provider Active NPI

Kiani Christabel Mohica, PT, DPT

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1912645946
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP014305T Issued in CO
Practice address
3102 S Parker Rd Ste A15
Aurora, CO 80014-3108
Phone
(303) 338-8598
NPI assigned
May 20, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2305215018 VA
Physical Therapist 225100000X CP014305T CO Primary

Addresses

Primary practice location

3102 S Parker Rd Ste A15
Aurora, CO 80014-3108

Mailing address

3102 S Parker Rd Ste A15
Aurora, CO 80014-3108
Phone (303) 338-8598

Other practice location 1

10342 Bristow Center Dr
Bristow, VA 20136-2201
Phone (703) 986-9604

Other identifiers 1

IdentifierTypeStateIssuer
2305215018OtherVASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP014305TCOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Haymarket Physical Therapy LLC Physical Therapist CurrentSince May 23, 2022 Accepting new patients
Alpine Physical Therapy and Sports Performance Physical Therapist CurrentSince Aug 4, 2023 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist PastSince Oct 9, 2022 Accepting new patients
Select Physical Therapy of Denver LTD Physical Therapist PastSince Oct 9, 2022 Accepting new patients

Locations

12650 W 64th Ave
Unit J
Arvada, CO 80004
Phone (303) 423-9000

10342 Bristow Center Dr
Bristow, VA 20136
Phone (571) 719-3563

14535 John Marshall Hwy
Ste 203
Gainesville, VA 20155
Phone (703) 753-0261

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1912645946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 S PARKER RD STE A15",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143108",
            "telephone_number": "303-338-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 S PARKER RD STE A15",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143108",
            "telephone_number": "303-338-8598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10342 Bristow Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bristow",
            "state": "VA",
            "postal_code": "201362201",
            "country_code": "US",
            "telephone_number": "703-986-9604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHICA",
        "first_name": "KIANI",
        "middle_name": "CHRISTABEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "2305215018",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP014305T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2305215018",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.