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SPORTS REHAB AND PHYSICAL THERAPY P.C. NPI 1588675821


NPI Information

NPI: 1588675821
Provider Name: SPORTS REHAB AND PHYSICAL THERAPY P.C.
Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
Entity Type: Organization
Address:
2295 S CHAMBERS RD STE J
AURORA, CO
ZIP 80014
Phone: (303) 632-5280
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SPORTS REHAB AND PHYSICAL THERAPY P.C. is a medical genetics phd medical genetics in Aurora, CO. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. SPORTS REHAB AND PHYSICAL THERAPY P.C. NPI is 1588675821. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2295 S CHAMBERS RD STE J
AURORA, CO
ZIP 80014-547
Phone: (303) 632-5280
Fax: (303) 632-5271

The provider's authorized official is Suchul Lee .
The authorized official title is Physical Therapist and has the following contact phone number (303) 632-5280.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 8/22/2020.


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
1170100000XMedical Genetics, Ph.D. Medical Genetics7958COLORADOYes

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
114830086MEDICAIDCOLORADO

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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