Healthcare Provider Details

I. General information

NPI: 1780398859
Provider Name (Legal Business Name): LUKE RITCHIE PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2023
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24300 E SMOKY HILL RD UNIT 126
AURORA CO
80016-1387
US

IV. Provider business mailing address

24300 E SMOKY HILL RD UNIT 126
AURORA CO
80016-1387
US

V. Phone/Fax

Practice location:
  • Phone: 303-680-1772
  • Fax:
Mailing address:
  • Phone: 303-680-1772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberPTL.0018879
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: