Healthcare Provider Details

I. General information

NPI: 1538108196
Provider Name (Legal Business Name): PHYSIOTHERAPY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6909 S HOLLY CIR STE 250
CENTENNIAL CO
80112-1042
US

IV. Provider business mailing address

6979 S HOLLY CIR STE 105
CENTENNIAL CO
80112-1577
US

V. Phone/Fax

Practice location:
  • Phone: 303-221-0038
  • Fax: 303-221-4458
Mailing address:
  • Phone: 303-694-2295
  • Fax: 303-694-1843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROB ZIGENFUS
Title or Position: CONTROLLER
Credential:
Phone: 901-685-7227