Transformation Therapeutics, PLLC
NPI 1679042121 · Physical Therapy Clinic/Center · Mountain Village, CO
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Transformation Therapeutics, PLLC is a Physical Therapy Clinic/Center organization in Mountain Village, CO (NPI 1679042121).
Provider details
- NPI number
- 1679042121
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Bullock, Owner(214) 864-2440
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-11-14
- Last updated
- 2018-11-20
Frequently asked questions
- What is Transformation Therapeutics, PLLC's NPI number?
- Transformation Therapeutics, PLLC's National Provider Identifier (NPI) is 1679042121, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Transformation Therapeutics, PLLC?
- Transformation Therapeutics, PLLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Transformation Therapeutics, PLLC located?
- Transformation Therapeutics, PLLC's practice location on file with NPPES is 622 Mountain Village Blvd Ste 102, Mountain Village, CO 81435-9529.
- What is Transformation Therapeutics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Transformation Therapeutics, PLLC is (970) 728-7047.
- Does Transformation Therapeutics, PLLC accept Medicare?
- Transformation Therapeutics, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Transformation Therapeutics, PLLC?
- The authorized official listed on Transformation Therapeutics, PLLC's NPPES record is Jennifer Bullock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Transformation Therapeutics, PLLC's NPI active?
- Yes — Transformation Therapeutics, PLLC's NPI (1679042121) is active in the NPPES registry as of the last update on 2018-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.