Healthcare Provider Details

I. General information

NPI: 1831895317
Provider Name (Legal Business Name): NATHAN J RUBIO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: NATE RUBIO

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 E ARAPAHOE RD
CENTENNIAL CO
80122-2312
US

IV. Provider business mailing address

10350 E DAKOTA AVE
DENVER CO
80247-1314
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-4545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0018933
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: