Healthcare Provider Details

I. General information

NPI: 1174060321
Provider Name (Legal Business Name): NEXT ERA PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2017
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14353 E OTERO AVE SUITE 104
ENGLEWOOD CO
80112-3279
US

IV. Provider business mailing address

14353 E OTERO AVE SUITE 104
ENGLEWOOD CO
80112-3279
US

V. Phone/Fax

Practice location:
  • Phone: 720-644-0181
  • Fax: 720-381-6868
Mailing address:
  • Phone: 720-644-0181
  • Fax: 720-381-6868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: TATIANA A PADILLA
Title or Position: BILLING MANAGER
Credential:
Phone: 720-644-0181