Healthcare Provider Details

I. General information

NPI: 1043501042
Provider Name (Legal Business Name): MOUNTAIN VALLEY DEVELOPMENTAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2011
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MOUNT SOPRIS DR
GLENWOOD SPRINGS CO
81601-4622
US

IV. Provider business mailing address

PO BOX 338
GLENWOOD SPRINGS CO
81602-0338
US

V. Phone/Fax

Practice location:
  • Phone: 970-945-2306
  • Fax: 970-945-6469
Mailing address:
  • Phone: 970-945-2306
  • Fax: 970-945-6469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: SARA SIMS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 970-945-2306