AUTUMN GROVE (NPI# 1033596747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033596747 |
Entity Type | Individual |
Full Name | AUTUMN GROVE |
Practice Address |
11185 W. 6th Avenue Lakewood CO 80215 |
Practice Telephone | 3032396060 |
Mailing Telephone | 3032396060 |
Enumeration Date | 2015-05-01 |
Last Update Date | 2015-08-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PTL. 0013479 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | COLORADO STATE PHYSICAL THERAPY LICENSE | PTL. 0013479 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417284076 | Autumn B Grove | Behavioral Analyst | 93b Patridge Circle, Carlisle, PA 17013 | 2009-11-03 |
Street Address |
11185 W. 6TH AVENUE |
City | LAKEWOOD |
State | CO |
Zip Code | 80215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679199566 | Alta Vista Center for Autism | Speech-Language Pathologist | 2001 Hoyt Street, Lakewood, CO 80215 | 2020-06-17 |
1871154419 | Ahc of Lakewood, LLC | Skilled Nursing Facility | 1565 Pierson Street, Lakewood, CO 80215 | 2019-06-25 |
1235646209 | Ashley Wiersma | Social Worker | 9485 W. Colfax Ave, Lakewood, CO 80215 | 2017-12-29 |
1619480563 | Amy Christine Ladebue | Counselor | 2596 Moore St, Lakewood, CO 80215 | 2017-11-14 |
1407374408 | Carly Young | Physician Assistant | 11171 W 17th Ave, Apt 303, Lakewood, CO 80215 | 2017-08-30 |
1356876700 | Our Family Care Home Assisted Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1169 Johnson Street, Lakewood, CO 80215 | 2017-04-24 |
1194263251 | Daniela Rosenberg | Student in an Organized Health Care Education/Training Program | 9845 W. Colfax Avenue, Jefferson Center for Mental Health, Lakewood, CO 80215 | 2017-02-08 |
1649690264 | Neil George Norton | Dentist | 9990 W. 26th Ave, Lakewood, CO 80215 | 2014-04-22 |
1366873820 | Whitney Anne Post | Counselor | 1439 Estes St., Lakewood, CO 80215 | 2013-12-10 |
1730522905 | Rich Iacovetta | Pharmacist | 1555 Quail Street, Lakewood, CO 80215 | 2013-04-08 |
Find all providers in zip 80215 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1457888091 | Life Pt Professional Corporation | Physical Therapist | 525 Route 70 Ste A6, Lakewood, NJ 08701-5847 | 2017-05-14 |
1346523420 | Teresa Marie Cramer | Physical Therapist | 6234 Mcknight Dr, Lakewood, CA 90713-2026 | 2011-09-24 |
1750585162 | Blaire Dagostin Mccurry | Physical Therapist | 5605 100th St Sw Ste B, Lakewood, WA 98499-2710 | 2007-06-12 |
1679581763 | Wilfred J Diaz | Physical Therapist | 4443 Levelside Ave, Lakewood, CA 90712-3753 | 2006-08-04 |
1053784686 | Vital Physical Therapy, LLC | Physical Therapist | 12211 W Alameda Pkwy, Suite 104, Lakewood, CO 80228-2866 | 2015-11-04 |
1346655941 | Rachelle Kay Denman Sherwood | Physical Therapist | 7308 Bridgeport Way W, Ste. 103, Lakewood, WA 98499-8000 | 2014-06-23 |
1376596437 | Patricia Ann Hutt | Physical Therapist | 2200 S Kipling St, Lakewood, CO 80227-2126 | 2006-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962028365 | Vital Motion Physical Therapy, LLC | Physical Therapist | 9478 Ridgeline Blvd Unit D, Highlands Ranch, CO 80129-2593 | 2020-06-22 |
1912535477 | Eagle Valley Physical Therapy Pllc | Physical Therapist | 428 Steamboat Dr., Gypsum, CO 81637 | 2020-03-31 |
1982235891 | Rudy James Hernandez | Physical Therapist | 175 Inverness Dr W, Englewood, CO 80112-5065 | 2020-01-29 |
1457997470 | Dara Wellness and Physio LLC | Physical Therapist | 2970 W 29th St Unit 17, Greeley, CO 80631-8510 | 2019-11-25 |
1679114250 | Kacey Minear | Physical Therapist | 151 W Mineral Ave Ste 116a, Littleton, CO 80120-4510 | 2019-10-04 |
1447722137 | Trailhead Physical Therapy LLC | Physical Therapist | 9150 Commerce Center Cir Ste 200, Highlands Ranch, CO 80129-1562 | 2018-12-19 |
1730697822 | Eve A Monrad | Physical Therapist | 325 Interlocken Pkwy Ste A-100, Broomfield, CO 80021-3497 | 2018-01-11 |
1477070522 | Scott Sullivan | Physical Therapist | 5320 Mark Dabling Blvd # 100, Colorado Springs, CO 80918-3839 | 2017-08-29 |
1972023604 | David Ernesto Canales | Physical Therapist | 2438 Research Pkwy Ste 235, Colorado Springs, CO 80920-1094 | 2017-06-23 |
1538606611 | Andrew Trevino | Physical Therapist | 9777 S Yosemite St Ste 130, Lone Tree, CO 80124-3115 | 2017-01-26 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.