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ROARING FORK PHYSICAL THERAPY PC NPI 1295866770


NPI Information

NPI: 1295866770
Provider Name: ROARING FORK PHYSICAL THERAPY, PC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
1450 E VALLEY RD
SUITE 203
BASALT, CO
ZIP 81621
Phone: (970) 927-9319
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ROARING FORK PHYSICAL THERAPY, PC is an orthopedic physical therapist in Basalt, CO. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. ROARING FORK PHYSICAL THERAPY, PC NPI is 1295866770. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1450 E VALLEY RD
SUITE 203
BASALT, CO
ZIP 81621-352
Phone: (970) 927-9319
Fax: (970) 927-0168

The provider's authorized official is Elizabeth Pettit .
The authorized official title is Owner and has the following contact phone number (970) 927-9319.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 3/2/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical Therapist2906COLORADONo
22251X0800XPhysical TherapistOrthopedic2906COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1066577MEDICARE ID-TYPE UNSPECIFIEDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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