Healthcare Provider Details
I. General information
NPI: 1538809744
Provider Name (Legal Business Name): MARIA RICALTON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/29/2022
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7878 WADSWORTH BLVD STE 210
ARVADA CO
80003-2121
US
IV. Provider business mailing address
7878 WADSWORTH BLVD STE 210
ARVADA CO
80003-2121
US
V. Phone/Fax
- Phone: 720-452-1267
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 13442 |
| License Number State | CT |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | PTL.0020754 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: