TRANSFORMATION THERAPEUTICS, PLLC
NPI 1679042121
Clinic/Center - Physical Therapy in Mountain Village, CO

Active since November 14, 2018
622 MOUNTAIN VILLAGE BLVD STE 102, MOUNTAIN VILLAGE, CO 81435(970) 728-7047(970) 728-7045 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Transformation Therapeutics, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRANSFORMATION THERAPEUTICS, PLLC (NPI 1679042121) is a healthcare organization registered as a physical therapy in Mountain Village, Colorado and active in the NPI registry since November 2018. The organization lists Jennifer Bullock, Owner, as its authorized official.

NPPES Registry Identity

NPI1679042121
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameTRANSFORMATION THERAPEUTICS, PLLC
Location Address622 MOUNTAIN VILLAGE BLVD STE 102Mountain Village, CO 81435-9529
Mailing Address622 Mountain Village Blvd Ste 102Mountain Village, CO 81435-9529 · (970) 728-7047 · Fax (970) 728-7045
Fax(970) 728-7045
Organization SubpartNo
Authorized OfficialJennifer BullockOwner · (214) 864-2440
Enumeration DateNovember 14, 2018
Last NPPES UpdateNovember 20, 2018
✔ NPI 1679042121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
622 MOUNTAIN VILLAGE BLVD STE 102, Mountain Village, CO 81435

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Transformation Therapeutics, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Transformation Therapeutics, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1164907986
622 MOUNTAIN VILLAGE BLVD STE 102
Mountain Village, CO 81435
(214) 864-2440
✔ Accepts MedicareSame address

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 Transformation Therapeutics, PLLC's NPI number?

The NPI number for Transformation Therapeutics, PLLC is 1679042121. It was assigned to this organization in the NPPES registry on November 14, 2018.

Where is Transformation Therapeutics, PLLC located?

Transformation Therapeutics, PLLC is located at 622 Mountain Village Blvd Ste 102, Mountain Village, CO 81435. The listed phone number is (970) 728-7047.

What is Transformation Therapeutics, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Transformation Therapeutics, PLLC enrolled in Medicare?

Yes. Transformation Therapeutics, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Transformation Therapeutics, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Transformation Therapeutics, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Transformation Therapeutics, PLLC was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.