Healthcare Provider Details
I. General information
NPI: 1447111489
Provider Name (Legal Business Name): WILDSPROUT PEDIATRIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/19/2025
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1535 S DOWNING ST
DENVER CO
80210-2736
US
IV. Provider business mailing address
1535 S DOWNING ST
DENVER CO
80210-2736
US
V. Phone/Fax
- Phone: 720-432-1145
- Fax:
- Phone:
- 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 | 225800000X |
| Taxonomy | Recreation Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ERIN
CURTIS
Title or Position: OWNER
Credential: PT, DPT
Phone: 720-432-1145