Mojo Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOJO PHYSICAL THERAPY, LLC

Practice address

1365 Forest Park Cir #102
Lafayette, CO 80026

Phone

(641) 512-2254

Fax

(720) 996-2015

NPI assigned

Nov 4, 2019

Organization subpart

No

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

Authorized official

Name

Brittany Boehnke, PT, DPTNPI 1316316102

Title

Doctor Physical Therapy and Owner O

Phone

(641) 512-2254

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brittany Boehnke, PT, DPT

  • Physical Therapist
  • Parker, CO
  • NPI 1316316102
  NPD Authorized official

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1952945735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 FOREST PARK CIR #102",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "80026",
            "telephone_number": "641-512-2254",
            "fax_number": "720-996-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 FOREST PARK CIR #102",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "80026",
            "telephone_number": "641-512-2254",
            "fax_number": "720-996-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJO PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "BOEHNKE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "DOCTOR PHYSICAL THERAPY AND OWNER O",
        "authorized_official_telephone_number": "641-512-2254",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teymur Mirzoyev, DPT, OCS
• Lisa E Mischke, CNS
• Allison Marie Mitas, FNP
• Maycee Mitchell, LCSW
• Susan J. Mitchell, NP
• Eve A Monrad, DPT
• Jennifer Nicole Monserud
• Andrew J Montes, MD
• Justin Montoya, LMT
• Megan Leigh Moon, DC

• Physical Therapy Clinic/Center in Lafayette, CO
• Providers in Lafayette, 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 Jul 18, 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.