Active NPI
Sandra Mendoza Rafols, PTA
- Physical Therapy Assistant
- Holyoke, CO
National Provider Identifier
1992053706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA.0012870
- Practice address
- 618 S. Interocean Ave.
Holyoke, CO 80734 - Phone
- (970) 854-2251
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA.0012870 | CO | Primary |
Addresses
Primary practice location
618 S. Interocean Ave.
Holyoke, CO 80734
Mailing address
716 S Worley Ave
Holyoke, CO 80734-1805
Phone (970) 817-8174
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.0012870 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1992053706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 S WORLEY AVE",
"city": "HOLYOKE",
"state": "CO",
"postal_code": "807341805",
"telephone_number": "970-817-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 S. INTEROCEAN AVE.",
"city": "HOLYOKE",
"state": "CO",
"postal_code": "80734",
"telephone_number": "970-854-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFOLS",
"first_name": "SANDRA",
"middle_name": "MENDOZA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "PTA.0012870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, CO
- Rhonda Osborne, MA, LPC
- Pamida Stores Operating Co., LLC
- Pinnacle Health Facilities Xvi LP
- Pinnacle Health Facilities Xvi LP
- Poudre Valley Medical Group, LLC
- Red Oak Rehabilitation and Care Community, LLC
- Red Oak Rehabilitation and Care Community, LLC
- Regent Park Care Center LLC
- Ashley Danielle Ritchie, DPT, WCS
- Rural Physicians Group, Pannu-PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.