=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265686224
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FIT PHYSICAL THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/04/2008
-----------------------------------------------------
Last Update Date | 07/30/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10485 SHERIDAN BLVD STE 200
-----------------------------------------------------
City | WESTMINSTER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80020-4108
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-469-1190
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6612 S WARD ST
-----------------------------------------------------
City | LITTLETON
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80127-4855
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-409-2133
-----------------------------------------------------
Fax | 303-409-2233
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-OWNER
-----------------------------------------------------
Name | DR. BRIAN ANOBILE
-----------------------------------------------------
Credential | PT, DPT
-----------------------------------------------------
Telephone | 303-409-2133
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 8415
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------