FULLSWIFT PHYSIOTHERAPY , PLLC (NPI# 1144849951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144849951 |
| Entity Type | Organization |
| Organization Name | FULLSWIFT PHYSIOTHERAPY , PLLC |
| Practice Address |
538 W. Laurel Ct. Louisville CO 80027 |
| Practice Telephone | 7207711159 |
| Mailing Telephone | 7207711159 |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2020-04-11 |
| Authorized Official Name | DR. JESSE RUSSELL MICKLEY MODICA (OWNER, DOCTOR OF PHYSICAL THERAPY) |
| Authorized Official Telephone | 7207711159 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Craft Physiotherapy & Sports Performance Training | Other Name - Individual/Organization |
| Street Address |
538 W. LAUREL CT. |
| City | LOUISVILLE |
| State | CO |
| Zip Code | 80027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265097547 | Amanda Nicole Calzolano | Occupational Therapist | 165 S Mccaslin Blvd, Suite B, Louisville, CO 80027 | 2019-05-02 |
| 1891258273 | Lisa Apel | Counselor | 287 Century Circle, Louisville, CO 80027 | 2019-04-11 |
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1568942886 | Alessandra Zapiecki | Occupational Therapist | 1107 W Century Dr, Louisville, CO 80027 | 2018-08-16 |
| 1225539935 | Healing Solutions Inc. | Massage Therapist | 362 S. Mccaslin Blvd., Louisville, CO 80027 | 2018-02-27 |
| 1033618632 | Matthew Mandel | Massage Therapist | 1945 Piper St, Superior, CO 80027 | 2018-02-08 |
| 1740794031 | Elise Nicole Brucks | Speech-Language Pathologist | 1007 Century Drive, Louisville, CO 80027 | 2017-11-22 |
| 1043762859 | Options Treatment, LLC | Counselor | 1068 S. 88th Street, Unit A, Louisville, CO 80027 | 2016-10-27 |
| 1225584071 | Trent Sayers Dental PC | Dentist | 1691 Coalton Rd., Superior, CO 80027 | 2016-08-31 |
| 1215382239 | Norris Scott Golberg | Chiropractor | 956 W Cherry St Ste 102, Louisville, CO 80027 | 2016-04-27 |
| Find all providers in zip 80027 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398697 | Kristin Burch Jackson | Physical Therapist | 317 Wallace Ave Ste 203, Louisville, KY 40207-3060 | 2019-10-21 |
| 1013272913 | Stacy Renee Downs | Physical Therapist | 4121 Shelbyville Rd., Suite 7, Louisville, KY 40207 | 2012-07-07 |
| 1922238971 | Larissa Ellis | Physical Therapist | 315 South Boulder Rd Ste 100, Louisville, CO 80027-4855 | 2009-07-23 |
| 1326147364 | Patricia Jo Metten | Physical Therapist | 1404 Eastern Pkwy, Louisville, KY 40204-1512 | 2006-09-22 |
| 1831790385 | Creighton Thompson | Physical Therapist | 315 W South Boulder Rd Ste 100, Louisville, CO 80027-1157 | 2020-11-02 |
| 1891345922 | Caroline Vaughn | Physical Therapist | 1227 Goss Ave, Louisville, KY 40217-1239 | 2019-09-20 |
| 1710477476 | Margaret Hart | Physical Therapist | 315 W South Boulder Rd Ste 100, Louisville, CO 80027-1157 | 2018-05-17 |
| 1346758497 | Alex Glades | Physical Therapist | 315 W South Boulder Rd Ste 100, Louisville, CO 80027-1157 | 2018-01-10 |
| 1215455290 | Annabel Bavage | Physical Therapist | 315 W South Boulder Rd Ste 100, Louisville, CO 80027-1157 | 2017-08-30 |
| 1013431584 | Zachary Keaton Weber | Physical Therapist | 9368 Cedar Center Way, Louisville, KY 40291-4522 | 2017-07-27 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 80027 |
Please comment or provide details below to improve the information on FULLSWIFT PHYSIOTHERAPY , PLLC.
| 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.