PINE RIVER PHYSICAL THERAPY, LLC
NPI 1174910145
Clinic/Center - Physical Therapy in Bayfield, CO
About Pine River Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE RIVER PHYSICAL THERAPY, LLC (NPI 1174910145) is a healthcare organization registered as a physical therapy in Bayfield, Colorado and active in the NPI registry since April 2015. The organization lists Donald Mooney, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pine River Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Pine River Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pine River Physical Therapy, LLC's NPI number?
The NPI number for Pine River Physical Therapy, LLC is 1174910145. It was assigned to this organization in the NPPES registry on April 17, 2015.
Where is Pine River Physical Therapy, LLC located?
Pine River Physical Therapy, LLC is located at 480 Wolverine Dr Ste 5, Bayfield, CO 81122. The listed phone number is (970) 884-2956.
What is Pine River Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Pine River Physical Therapy, LLC enrolled in Medicare?
Yes. Pine River Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pine River Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Pine River Physical Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pine River Physical Therapy, LLC was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pine River Physical Therapy, Llc · NPI 1174910145
Physical Therapy organization in Bayfield, Colorado. Organization record, active in the CMS NPPES registry since April 17, 2015.
## Identity
- **NPI:** 1174910145 (Entity type: Organization)
- **Enumerated:** April 17, 2015
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Donald Mooney, OFFICE MANAGER
## Practice location
- **Address:** 480 WOLVERINE DR STE 5, Bayfield, CO 81122-9653
- **Phone:** (970) 884-2956
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 11, 2020
- **Other identifiers:** Medicaid 16780051 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1174910145) · Data from the CMS NPPES public registry.