Healthcare Provider Details

I. General information

NPI: 1003732413
Provider Name (Legal Business Name): ALTITUDE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6280 E FLORIDA AVE
DENVER CO
80224-1911
US

IV. Provider business mailing address

6280 E FLORIDA AVE
DENVER CO
80224-1911
US

V. Phone/Fax

Practice location:
  • Phone: 720-771-1107
  • Fax:
Mailing address:
  • Phone: 720-771-1107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: PATRICK JAMES MAYWORM
Title or Position: OWNER
Credential:
Phone: 720-771-1107