Healthcare Provider Details

I. General information

NPI: 1649820580
Provider Name (Legal Business Name): APTA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2019
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11755 E PEAKVIEW AVE STE 250
CENTENNIAL CO
80111-6856
US

IV. Provider business mailing address

11755 E PEAKVIEW AVE STE 250
CENTENNIAL CO
80111-6856
US

V. Phone/Fax

Practice location:
  • Phone: 801-783-3391
  • Fax:
Mailing address:
  • Phone: 801-783-3391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: DAVID JAMES HERSOM
Title or Position: COO
Credential:
Phone: 612-805-3012