Healthcare Provider Details

I. General information

NPI: 1952848483
Provider Name (Legal Business Name): ADAM ALTON PT, DPT, LAT, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2017
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7878 WADSWORTH BLVD STE 210
ARVADA CO
80003-2121
US

IV. Provider business mailing address

75 SYDNEY CT
HANOVER PA
17331-8681
US

V. Phone/Fax

Practice location:
  • Phone: 303-456-8967
  • Fax:
Mailing address:
  • Phone: 443-977-0455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT017502
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP23387
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: