Basic Information
| Provider Information | |||||||||
| NPI: | 1558863662 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | DENVER PHYSICAL THERAPY AT HOME | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1573 S CATAWBA CIR | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800186012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7204739791 | ||||||||
| FaxNumber: | 7205005652 | ||||||||
| Practice Location | |||||||||
| Address1: | 1573 S CATAWBA CIR | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800186012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7204739791 | ||||||||
| FaxNumber: | 7205005652 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2018 | ||||||||
| LastUpdateDate: | 03/05/2018 | ||||||||
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| AuthorizedOfficialLastName: | RODRIGUEZ | ||||||||
| AuthorizedOfficialFirstName: | RODRIGO | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7204739791 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.