Healthcare Provider Details

I. General information

NPI: 1992450076
Provider Name (Legal Business Name): CASTLE ROCK THERAPIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2022
Last Update Date: 03/23/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19284 COTTONWOOD DR STE 203
PARKER CO
80138-3881
US

IV. Provider business mailing address

2 OAKWOOD PARK PLZ STE 200
CASTLE ROCK CO
80104-1885
US

V. Phone/Fax

Practice location:
  • Phone: 720-788-7365
  • Fax: 720-294-1426
Mailing address:
  • Phone: 720-788-7365
  • Fax: 720-679-1272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR MARK PFEIFER
Title or Position: CO-OWNER
Credential: DPT
Phone: 720-788-7365