Healthcare Provider Details

I. General information

NPI: 1245028273
Provider Name (Legal Business Name): ROOTED PELVIC PHYSIOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 S WILLIAMS ST
DENVER CO
80209-4535
US

IV. Provider business mailing address

518 S WILLIAMS ST
DENVER CO
80209-4535
US

V. Phone/Fax

Practice location:
  • Phone: 561-317-8980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SYDNEY JACQUELYN PINCUS
Title or Position: OWNER
Credential: DPT
Phone: 561-317-8980