MARA DANIELLE PACYGA (NPI# 1629130406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629130406 |
| Entity Type | Individual |
| Full Name | MARA DANIELLE PACYGA |
| Credential | MSPT |
| Practice Address |
280 Zerex St. Pob 1345 Fraser CO 80442-1345 |
| Mailing Address |
280 Zerex St Pob 1345 Fraser CO 80442-1345 |
| Practice Telephone | 9707268503 |
| Practice Fax Number | 9707268941 |
| Mailing Telephone | 9707268503 |
| Mailing Fax Number | 9707268941 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
7663 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE PT LICENSE | 7663 | 01 |
| Street Address |
280 ZEREX ST. POB 1345 |
| City | FRASER |
| State | CO |
| Zip Code | 80442-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447813118 | Kristyn Roe | Counselor | 100 Doc Susie Ave, Fraser, CO 80442 | 2019-04-18 |
| 1568836849 | Denver Health Alpine Clinic | Clinic/Center | 280 Zerex St, Fraser, CO 80442 | 2015-11-24 |
| 1255610036 | Jessica Marie Hanna | Pharmacist | 40 Cr 804, Fraser, CO 80442 | 2011-08-10 |
| 1689980609 | Joshua Vogt | Pharmacist | 40 County Rd. 804, Fraser, CO 80442 | 2010-08-27 |
| 1912072836 | Alpine Physical Therapy & Wellness Center PC | Physical Therapist | 280 Zerex Street, Fraser, CO 80442 | 2006-11-24 |
| 1508895566 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 40 County Road 804, Fraser, CO 80442 | 2006-07-02 |
| 1710985197 | Caprice M. Olomon | Radiology | 181 County Rd 8035, Fraser, CO 80442 | 2005-07-11 |
| 1508415183 | Samantha G Darbonne | Counselor | 280 Zerex St, Fraser, CO 80442 | 2019-09-06 |
| 1063060036 | Contrails, Ltd. | Counselor | 280 Zerex Street, Fraser, CO 80442 | 2019-09-03 |
| 1386097368 | Building Warriors Incorporated | Counselor | 280 Zerex Street, Fraser, CO 80442 | 2016-07-14 |
| Find all providers in zip 80442 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912072836 | Alpine Physical Therapy & Wellness Center PC | Physical Therapist | 280 Zerex Street, Fraser, CO 80442 | 2006-11-24 |
| 1982131918 | Kathyrn Thornton | Physical Therapist | 33089 Groesbeck Hwy, Fraser, MI 48026-1501 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028365 | Vital Motion Physical Therapy, LLC | Physical Therapist | 9478 Ridgeline Blvd Unit D, Highlands Ranch, CO 80129-2593 | 2020-06-22 |
| 1912535477 | Eagle Valley Physical Therapy Pllc | Physical Therapist | 428 Steamboat Dr., Gypsum, CO 81637 | 2020-03-31 |
| 1982235891 | Rudy James Hernandez | Physical Therapist | 175 Inverness Dr W, Englewood, CO 80112-5065 | 2020-01-29 |
| 1457997470 | Dara Wellness and Physio LLC | Physical Therapist | 2970 W 29th St Unit 17, Greeley, CO 80631-8510 | 2019-11-25 |
| 1679114250 | Kacey Minear | Physical Therapist | 151 W Mineral Ave Ste 116a, Littleton, CO 80120-4510 | 2019-10-04 |
| 1447722137 | Trailhead Physical Therapy LLC | Physical Therapist | 9150 Commerce Center Cir Ste 200, Highlands Ranch, CO 80129-1562 | 2018-12-19 |
| 1730697822 | Eve A Monrad | Physical Therapist | 325 Interlocken Pkwy Ste A-100, Broomfield, CO 80021-3497 | 2018-01-11 |
| 1477070522 | Scott Sullivan | Physical Therapist | 5320 Mark Dabling Blvd # 100, Colorado Springs, CO 80918-3839 | 2017-08-29 |
| 1972023604 | David Ernesto Canales | Physical Therapist | 2438 Research Pkwy Ste 235, Colorado Springs, CO 80920-1094 | 2017-06-23 |
| 1538606611 | Andrew Trevino | Physical Therapist | 9777 S Yosemite St Ste 130, Lone Tree, CO 80124-3115 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
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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.