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COLORADO SPINE THERAPY LLC NPI 1679766984


NPI Information

NPI: 1679766984
Provider Name: COLORADO SPINE THERAPY, LLC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
3900 E MEXICO AVE
DENVER, CO
ZIP 80210
Phone: (303) 842-5614
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COLORADO SPINE THERAPY, LLC is an orthopedic physical therapist in Denver, 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. COLORADO SPINE THERAPY, LLC NPI is 1679766984. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3900 E MEXICO AVE
DENVER, CO
ZIP 80210-940
Phone: (303) 842-5614

The provider's authorized official is Stefan Jh Van Duursen .
The authorized official title is Owner/physical Therapist and has the following contact phone number (303) 842-5614.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 7/1/2010.


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
12251X0800XPhysical TherapistOrthopedic5012COLORADOYes

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
1C810210MEDICARE PIN
21679766984MEDICARE UPIN

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: 11/14/2023

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