Healthcare Provider Details

I. General information

NPI: 1295243798
Provider Name (Legal Business Name): DENVER PHYSICAL THERAPY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 12/31/2019
Certification Date: 12/31/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10359 FEDERAL BLVD STE 205
WESTMINSTER CO
80260-7453
US

IV. Provider business mailing address

7310 S ALTON WAY STE 6L
CENTENNIAL CO
80112-2351
US

V. Phone/Fax

Practice location:
  • Phone: 303-410-8178
  • Fax: 303-410-2573
Mailing address:
  • Phone: 303-790-4495
  • Fax: 720-488-1988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ROBERT PACE
Title or Position: COO
Credential:
Phone: 213-804-1712