=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073523155
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOANNE YOUNG PFEIFER P.T.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/09/2006
-----------------------------------------------------
Last Update Date | 03/04/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9085 RANCH RIVER CIR CLASSIC RESIDENCE BY HYATT THERAPY DEPARTMENT
-----------------------------------------------------
City | HIGHLANDS RANCH
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80126-5094
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-348-7930
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9085 RANCH RIVER CIRCLE CLASSIC RESIDENCE BY HYATT, THERAPY DEPARTMENT
-----------------------------------------------------
City | HIGHLANDS RANCH
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-348-7030
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | PTL-10664
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------