Healthcare Provider Details

I. General information

NPI: 1538791942
Provider Name (Legal Business Name): WESTERN PHYSICAL THERAPY SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2020
Last Update Date: 02/06/2020
Certification Date: 02/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12297 PENNSYLVANIA ST UNIT 3
THORNTON CO
80241-3165
US

IV. Provider business mailing address

5094 QUITMAN ST
DENVER CO
80212-2639
US

V. Phone/Fax

Practice location:
  • Phone: 303-252-9400
  • Fax: 303-255-9555
Mailing address:
  • Phone: 303-587-2973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LUCAS ARMSTRONG
Title or Position: MANAGER
Credential: PT, DPT
Phone: 303-587-2973