=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780574772
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FCE CONSULTANT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2025
-----------------------------------------------------
Last Update Date | 07/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7112 W JEFFERSON AVE STE 309
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80235-2328
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-552-4220
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5433 PEACH BLOSSOM LN
-----------------------------------------------------
City | STEWARTSTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17363-7640
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | SHERRY YOUNG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 303-552-4220
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225XP0019X
-----------------------------------------------------
Taxonomy Name | Physical Rehabilitation Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------