Healthcare Provider Details

I. General information

NPI: 1831079276
Provider Name (Legal Business Name): TOP SHELF PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

10 INVERNESS DR E STE 101
ENGLEWOOD CO
80112-5611
US

IV. Provider business mailing address

6072 E HINSDALE AVE
CENTENNIAL CO
80112-1547
US

V. Phone/Fax

Practice location:
  • Phone: 805-252-9081
  • Fax:
Mailing address:
  • Phone: 805-252-9081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LUKE HARTNETT HARMON
Title or Position: OWNER
Credential: PT, DPT
Phone: 805-252-9081