Proactive Physical Therapy Llc in Colorado Springs - Pediatrics
Proactive Physical Therapy Llc - NPI 1063454874
Proactive Physical Therapy Llc is a Pediatrics in Colorado Springs, Colorado. Proactive Physical Therapy Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Proactive Physical Therapy Llc is 1063454874. The last update date is 2016-06-13.
Proactive Physical Therapy Llc's current location address is 9320 Grand Cordera Pkwy, Colorado Springs, Colorado. You can contact this provider via phone number 7195352757 and fax number 7195352767. The mailing address for Proactive Physical Therapy Llc is 9320 Grand Cordera Pkwy, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Proactive Physical Therapy Llc |
|---|---|
| Address | 9320 Grand Cordera Pkwy, Colorado Springs, Colorado |
| Phone Number | 7195352757 |
| Fax Number | 7195352767 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Rector Jane Allison |
| Credentials | PT |
| Telephone Number | 7195352757 |
NPI Number Detail
| NPI Number | 1063454874 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2016-06-13 |
Provider Mailing Address Detail
| Address | 9320 Grand Cordera Pkwy |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809247003 |
| Phone Number | 7195352757 |
| Fax Number | 7195352767 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12134040 | CO | -- |
Post Comment/ Review Below
What is the Proactive Physical Therapy Llc's 1063454874?
The Proactive Physical Therapy Llc's NPI (National Provider Identifier) Number is 1063454874. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Proactive Physical Therapy Llc's physical address?
The Proactive Physical Therapy Llc is physically located at 9320 Grand Cordera Pkwy, in the city of Colorado Springs, CO, with the postal code 809247003.
What is the Proactive Physical Therapy Llc's area of specialization and corresponding taxonomy classification?
The Proactive Physical Therapy Llc's specialty field is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their specialties.
On what date did Proactive Physical Therapy Llc receive its 1063454874 assignment from the Centers for Medicare & Medicaid Services?
The Proactive Physical Therapy Llc was assigned its 1063454874 on 2006-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Proactive Physical Therapy Llc most recently updated?
The details pertaining to the Proactive Physical Therapy Llc, including its address, specialty, and other relevant information, were last refreshed on 2016-06-13.
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