FUNCTIONAL PHYSICAL THERAPY, LLC, A COLORADO PROFESSIONAL COMPANY (NPI# 1184878308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184878308 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL PHYSICAL THERAPY, LLC, A COLORADO PROFESSIONAL COMPANY |
| Practice Address |
1412 W 38th Ave Denver CO 80211-2617 |
| Mailing Address |
2800 Kalmia Ave Apt C318 Boulder CO 80301-1590 |
| Practice Telephone | 9708463300 |
| Mailing Telephone | 9708463300 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |
| Authorized Official Name | MS. NANCY GALE HACKETT HARRISON (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9708463300 |
| Authorized Official Credential | MSPT, CFMT, FMTF |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
6843 | CO | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Functional Physical Therapy, LLC, A Colorado Professional Company | 5305 Spine Rd Ste F, Boulder, CO 80301 |
| Street Address |
1412 W 38TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80211-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114002839 | Nancy Gale Hackett Harrison | Specialist | 1412 W 38th Ave, Denver, CO 80211-2617 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818869 | Naomi Victoria Akwei-esterline | Community/Behavioral Health | 2640 W 26th Ave, Suite 217, Denver, CO 80211 | 2020-07-16 |
| 1073095436 | Kelsey Briana Vincent | Marriage & Family Therapist | 2855 Speer Blvd, Denver, CO 80211 | 2018-09-02 |
| 1669968806 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2490 W 26th Ave Ste 200, Denver, CO 80211 | 2018-07-10 |
| 1578061420 | Colorado Foot and Ankle Research Institute | Podiatrist | 3438 Federal Blvd, Denver, CO 80211 | 2018-01-25 |
| 1437668670 | Timothy Daniel Conwell | Chiropractor | 4444 Umatilla St., Denver, CO 80211 | 2017-09-20 |
| 1609390632 | 38th Modern Dental Practice, LLC | Dentist | 3550 W 38th Ave., #5, Denver, CO 80211 | 2017-08-01 |
| 1063951473 | Samuel Hawkins | Counselor | 2560 W. 29th, Denver, CO 80211 | 2017-02-17 |
| 1972045011 | Margaret Reynolds | Counselor | 2727 Bryant St Ste 510, Denver, CO 80211 | 2016-11-07 |
| 1508312141 | Kim Johnson | Counselor | 2460 W 26th Ave Denver, Denver, CO 80211 | 2016-09-01 |
| 1154877470 | Sara Galan | Counselor | 2405 W. 26th Ave, Denver, CO 80211 | 2016-08-28 |
| Find all providers in zip 80211 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052258 | Panorama Orthopedics and Spine Center PC | Clinic/Center | 1402 S Parker Rd Ste A116, Denver, CO 80231-2758 | 2020-10-29 |
| 1306455845 | Ascension Physical Therapy, Fitness and Wellness LLC | Clinic/Center | 600 S Cherry St Ste 230, Denver, CO 80246-1714 | 2020-07-30 |
| 1619595923 | Good Core Physical Therapy, LLC | Clinic/Center | 3129 S Detroit St, Denver, CO 80210-6724 | 2020-07-13 |
| 1508481490 | Rhonda C Dodge LLC | Clinic/Center | 50 S Steele St # 810, Denver, CO 80209-2805 | 2020-06-16 |
| 1093368441 | Trustrength Performance and Rehab | Clinic/Center | 4875 Dtc Blvd Ste 9-101, Denver, CO 80237-3315 | 2019-07-24 |
| 1083274930 | University of Colorado Hospital Authority | Clinic/Center | 3055 Roslyn St Unit 110 & 270, Denver, CO 80238-3324 | 2019-06-13 |
| 1669968806 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2490 W 26th Ave Ste 200, Denver, CO 80211 | 2018-07-10 |
| 1659860930 | The Physio Revolution | Clinic/Center | 1224 S Acoma St, Denver, CO 80223-3219 | 2018-05-02 |
| 1376043885 | Fit and Safe, LLC | Clinic/Center | 2660 S Monaco Pkwy Ste B, Denver, CO 80222-7802 | 2018-02-21 |
| 1275047144 | Heather Lane Physical Therapy and Wellness LLC | Clinic/Center | 425 S Cherry St Ste 380, Denver, CO 80246-1230 | 2017-11-29 |
| Find all providers in DENVER | ||||
Please comment or provide details below to improve the information on FUNCTIONAL PHYSICAL THERAPY, LLC, A COLORADO PROFESSIONAL COMPANY.
| 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.