CHERRY CREEK PHYSICAL THERAPY, PC (NPI# 1457567653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457567653 |
| Entity Type | Organization |
| Organization Name | CHERRY CREEK PHYSICAL THERAPY, PC |
| Practice Address |
12371 E Cornell Ave Building 15 Aurora CO 80014-3323 |
| Practice Telephone | 3039622298 |
| Mailing Telephone | 3039622298 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JENNIFER ELISE LANE (CLINIC DIRECTOR) |
| Authorized Official Telephone | 3033881537 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
12371 E CORNELL AVE BUILDING 15 |
| City | AURORA |
| State | CO |
| Zip Code | 80014-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930345 | Unbound Physical Therapy LLC | Clinic/Center | 3621 S Kalispell St, Aurora, CO 80013-2435 | 2020-07-23 |
| 1245764950 | Hesch Institute | Clinic/Center | 25837 E Maple Pl, Aurora, CO 80018-4596 | 2017-04-19 |
| 1750746756 | Debra Ganoe | Clinic/Center | 4543 South Abilene Cr., Aurora, CO 80015 | 2015-12-18 |
| 1629408133 | Totally Mobile Pt, LLC | Clinic/Center | 3573 S Olathe Way, Aurora, CO 80013-2846 | 2013-11-19 |
| 1568729986 | Tricare Medical Group of Midwest Inc. | Clinic/Center | 3535 East New York Street, Suite 119, Aurora, IL 60504-4427 | 2012-04-23 |
| 1851436463 | Occupational Health Center of The Southwest Pa PC | Clinic/Center | 3350 Peoria Street, Aurora, CO 80010 | 2007-02-21 |
| 1023029923 | Occupational Health Centers of Illinois PC | Clinic/Center | 4000 Ogden Avenue, Aurora, IL 60504 | 2006-08-10 |
| 1962412726 | Us Pt Therapy Services, Inc. | Clinic/Center | 3150 N Aurora Rd, Suite B, Aurora, IL 60502-3800 | 2006-08-08 |
| 1770530206 | Southlands Physical Therapy LLC | Clinic/Center | 24743 E Quarto Pl, Aurora, CO 80016-7168 | 2006-05-29 |
| 1699242735 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1950 S Dayton St, Aurora, CO 80247-3452 | 2018-10-26 |
| Find all providers in AURORA | ||||
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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.