Healthcare Provider Details

I. General information

NPI: 1780645390
Provider Name (Legal Business Name): ALLIANCE OF THERAPY SPECIALISTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 07/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 DTC PARKWAY SUITE 170
GREENWOOD VILLAGE CO
80111-5483
US

IV. Provider business mailing address

5750 DTC PARKWAY SUITE 170
GREENWOOD VILLAGE CO
80111-5483
US

V. Phone/Fax

Practice location:
  • Phone: 303-504-9945
  • Fax: 303-504-9946
Mailing address:
  • Phone: 303-504-9945
  • Fax: 303-504-9946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number04R663
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNA M PENNINGTON
Title or Position: DIRECTOR, BILLING DEPARTMENT
Credential:
Phone: 303-504-9945