Healthcare Provider Details
I. General information
NPI: 1346044641
Provider Name (Legal Business Name): SPARTAN PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2992 W 39TH AVE
DENVER CO
80211-2022
US
IV. Provider business mailing address
3890 FEDERAL BLVD
DENVER CO
80211-2054
US
V. Phone/Fax
- Phone: 720-644-6951
- Fax:
- Phone: 303-455-2225
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TRENT
R
ARTICHOKER
Title or Position: OWNER
Credential: DC
Phone: 303-669-6434