VITAL PHYSICAL THERAPY, LLC (NPI# 1053784686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053784686 |
| Entity Type | Organization |
| Organization Name | VITAL PHYSICAL THERAPY, LLC |
| Other Organization Name | VITAL PHYSICAL THERAPY |
| Practice Address |
12211 W Alameda Pkwy Suite 104 Lakewood CO 80228-2866 |
| Practice Telephone | 7205191548 |
| Mailing Telephone | 7205191548 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | ANGIE NGUYEN (OWNER, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7025191548 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
8733 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Vital Physical Therapy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Vital Physical Therapy, LLC | 5707 Dunraven Street, Golden, CO 80401 |
| Street Address |
12211 W ALAMEDA PKWY SUITE 104 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-2866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861807448 | Dawn Kulaski | Acupuncturist | 12211 W Alameda Pkwy, Lakewood, CO 80228-2866 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457888091 | Life Pt Professional Corporation | Physical Therapist | 525 Route 70 Ste A6, Lakewood, NJ 08701-5847 | 2017-05-14 |
| 1033596747 | Autumn Grove | Physical Therapist | 11185 W. 6th Avenue, Lakewood, CO 80215 | 2015-05-01 |
| 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 |
| 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.