Healthcare Provider Details

I. General information

NPI: 1326631318
Provider Name (Legal Business Name): CP AND IP THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2021
Last Update Date: 02/19/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 LOWER BULLWINKLE
ASPEN CO
81612
US

IV. Provider business mailing address

PO BOX 295
WOODY CREEK CO
81656-0295
US

V. Phone/Fax

Practice location:
  • Phone: 970-618-6347
  • Fax:
Mailing address:
  • Phone: 970-618-6347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. ROBIN SEVERY PFAUTZ
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT, DPT, MS
Phone: 970-618-6347