Healthcare Provider Details

I. General information

NPI: 1588243653
Provider Name (Legal Business Name): CASTLE ROCK THERAPIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 CASTLETON WAY STE 300
CASTLE ROCK CO
80109-7896
US

IV. Provider business mailing address

4700 CASTLETON WAY STE 300
CASTLE ROCK CO
80109-7807
US

V. Phone/Fax

Practice location:
  • Phone: 720-788-7365
  • Fax: 720-294-0284
Mailing address:
  • Phone: 720-788-7365
  • Fax: 720-679-1272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR MARK PFEIFER
Title or Position: OWNER
Credential:
Phone: 720-788-7365