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INNOVATIVE PHYSICAL THERAPY NPI 1538603519


NPI Information

NPI: 1538603519
Provider Name: INNOVATIVE PHYSICAL THERAPY
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4704 HARLAN ST
SUITE 505
DENVER, CO
ZIP 80212
Phone: (303) 424-7243
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INNOVATIVE PHYSICAL THERAPY is a specialist in Denver, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INNOVATIVE PHYSICAL THERAPY NPI is 1538603519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4704 HARLAN ST
SUITE 505
DENVER, CO
ZIP 80212-415
Phone: (303) 424-7243
Fax: (303) 421-0705

The provider's authorized official is Delilah J Crump .
The authorized official title is Doctor Of Physical Therapy/owner and has the following contact phone number (303) 424-7243.

The enumeration date for this NPI number is 12/12/2016 and was last updated on 3/22/2017.


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
1174400000XSpecialistPTL9777COLORADOYes

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
113135163MEDICAIDCOLORADO

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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