Healthcare Provider Details

I. General information

NPI: 1972925006
Provider Name (Legal Business Name): ATLAS PHYSICAL THERAPY AT STAPLETON, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2014
Last Update Date: 04/04/2022
Certification Date: 04/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 QUEBEC ST 5005
DENVER CO
80207-2322
US

IV. Provider business mailing address

3401 QUEBEC ST 5005
DENVER CO
80207-2322
US

V. Phone/Fax

Practice location:
  • Phone: 303-322-4900
  • Fax: 303-322-4909
Mailing address:
  • Phone: 303-322-4900
  • Fax: 303-322-4909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number10679
License Number StateCO

VIII. Authorized Official

Name: ALEX LANTON
Title or Position: OWNER
Credential:
Phone: 303-322-4900