Healthcare Provider Details

I. General information

NPI: 1124759873
Provider Name (Legal Business Name): WILLIAM DANIEL PINEDA DPT, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2022
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 E COLFAX AVE
DENVER CO
80206-1412
US

IV. Provider business mailing address

400 S COLORADO BLVD STE 640
GLENDALE CO
80246-1239
US

V. Phone/Fax

Practice location:
  • Phone: 303-382-3700
  • Fax: 303-832-3712
Mailing address:
  • Phone: 316-633-1027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0019127
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: