Healthcare Provider Details
I. General information
NPI: 1780882183
Provider Name (Legal Business Name): JAMES BIGGS P.T.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/06/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1330 QUAIL LAKE LOOP STE 100
COLORADO SPRINGS CO
80906-4651
US
IV. Provider business mailing address
6979 S HOLLY CIR STE 105
CENTENNIAL CO
80112-1577
US
V. Phone/Fax
- Phone: 719-579-0230
- Fax: 719-579-0277
- Phone: 303-694-2295
- Fax: 303-694-1843
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225200000X |
| Taxonomy | Physical Therapy Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: