Healthcare Provider Details

I. General information

NPI: 1467590968
Provider Name (Legal Business Name): COLORADO INJURY TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 S PLATTE RIVER DR STE 1B
DENVER CO
80223-2069
US

IV. Provider business mailing address

405 S PLATTE RIVER DR STE 1B
DENVER CO
80223-2069
US

V. Phone/Fax

Practice location:
  • Phone: 303-778-1131
  • Fax: 303-778-0809
Mailing address:
  • Phone: 303-778-1131
  • Fax: 303-778-0809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6786
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8890
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number StateCO

VIII. Authorized Official

Name: ELLEN BURKE
Title or Position: OWNER
Credential:
Phone: 303-778-1131