Healthcare Provider Details

I. General information

NPI: 1073571329
Provider Name (Legal Business Name): DENVER PHYSICAL THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 02/04/2020
Certification Date: 02/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6660 TIMBERLINE RD STE 110
HIGHLANDS RANCH CO
80130-5342
US

IV. Provider business mailing address

7310 S ALTON WAY STE 6L
CENTENNIAL CO
80112-2334
US

V. Phone/Fax

Practice location:
  • Phone: 303-683-4500
  • Fax:
Mailing address:
  • Phone: 303-790-4495
  • Fax: 720-488-1988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ERIKA EDEN JACOB
Title or Position: OWNER
Credential:
Phone: 303-628-0871