Healthcare Provider Details

I. General information

NPI: 1770916561
Provider Name (Legal Business Name): DANIEL JAMES POPE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2013
Last Update Date: 08/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 S QUEBEC ST SUITE 100
GREENWOOD VILLAGE CO
80111-2003
US

IV. Provider business mailing address

5801 S QUEBEC ST SUITE 100
GREENWOOD VILLAGE CO
80111-2003
US

V. Phone/Fax

Practice location:
  • Phone: 303-694-9193
  • Fax: 303-779-0566
Mailing address:
  • Phone: 303-694-9193
  • Fax: 303-779-0566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number0012224
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: