Healthcare Provider Details

I. General information

NPI: 1124629811
Provider Name (Legal Business Name): ALPENSTRONG PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2020
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 S SAINT VRAIN AVE
ESTES PARK CO
80517-6355
US

IV. Provider business mailing address

605 COMMUNITY DR
ESTES PARK CO
80517-7494
US

V. Phone/Fax

Practice location:
  • Phone: 804-516-1889
  • Fax:
Mailing address:
  • Phone: 970-672-4302
  • Fax: 855-492-1614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALISYN OLIVIA HUMMELBERG
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 970-672-4302