MEND PLLC (NPI# 1598142663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598142663 |
| Entity Type | Organization |
| Organization Name | MEND PLLC |
| Other Organization Name | MEND PHYSICAL THERAPY |
| Practice Address |
2760 29th St Ste 1b Boulder CO 80301-1221 |
| Practice Telephone | (720) 772-6780 |
| Practice Fax Number | 8446975513 |
| Mailing Telephone | (720) 772-6780 |
| Mailing Fax Number | 8446975513 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. KRISTIN JAYNE CARPENTER (OWNER/MANAGER) |
| Authorized Official Telephone | 7207726780 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
10053 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Mend Physical Therapy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2660 Canyon Blvd, Suite A4, Boulder, CO 803026748 | 3038709271 | 8446975513 |
| Street Address |
2760 29TH ST STE 1B |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104216043 | Chris Degrandis | Physical Therapist | 777 29th St Ste 401, Boulder, CO 80303-2316 | 2015-01-30 |
| 1386046027 | James Heafner | Physical Therapist | 3120 Pearl Pkwy Apt 307, Boulder, CO 80301-2495 | 2014-09-25 |
| 1043623705 | Marin Lee Campbell | Physical Therapist | 7433 Singing Hills Dr, Boulder, CO 80301-3769 | 2014-06-10 |
| 1881836716 | Bodywise Physical Therapy Professional LLC | Physical Therapist | 4440 Arapahoe Ave Ste 101, Boulder, CO 80303 | 2009-03-24 |
| 1215069505 | Andrea Kesslen Barsch | Physical Therapist | University of Colorado Boulder Wardenburg Health Ctr, Ucb 119, Boulder, CO 80309-0119 | 2007-03-12 |
| 1659469369 | Sharon L Switzer | Physical Therapist | 5277 Manhattan Cir, Suite #103, Boulder, CO 80303-8201 | 2006-10-10 |
| 1184251662 | Chad Edward Kittles | Physical Therapist | 5495 Arapahoe Ave, Boulder, CO 80303-1200 | 2020-03-25 |
| 1659789121 | Chelsea Sturgeon | Physical Therapist | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2014-07-29 |
| 1346652914 | Elizabeth Mckinley | Physical Therapist | 5350 Manhattan Cir, Suite 100, Boulder, CO 80303-4291 | 2014-05-29 |
| 1174818132 | Dade Schesler Smith | Physical Therapist | 5387 Manhattan Cir Ste 100a, Boulder, CO 80303-4283 | 2011-06-17 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.