INNOVATIVE PHYSICAL THERAPY (NPI# 1538603519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538603519 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE PHYSICAL THERAPY |
| Practice Address |
4704 Harlan St Suite 505 Denver CO 80212-7415 |
| Practice Telephone | 3034247243 |
| Practice Fax Number | 3034210705 |
| Mailing Telephone | 3034247243 |
| Mailing Fax Number | 3034210705 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | DR. DELILAH J CRUMP (DOCTOR OF PHYSICAL THERAPY/OWNER) |
| Authorized Official Telephone | 3034247243 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PTL9777 | CO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 13135163 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346372588 | Innovative Physical Therapy | Physical Therapist | 545 N. Carriage Parkway, Wichita, KS 67208-4506 | 2007-03-12 |
| 1750441325 | Innovative Physical Therapy | Clinic/Center | 620 Trace Dr, Jackson, TN 38305-1584 | 2006-12-12 |
| 1225048887 | Innovative Physical Therapy | Physical Therapist | 1605 E Del Mar Blvd Ste 14, Laredo, TX 78041-6517 | 2006-08-08 |
| 1568472082 | Innovative Physical Therapy | Occupational Therapist | 4455 S Padre Island Dr Ste 8, Corpus Christi, TX 78411-5166 | 2006-08-08 |
| 1871907618 | Innovative Physical Therapy | Clinic/Center | 214 N Main St, Suite 207, Natick, MA 01760-1131 | 2014-06-19 |
| 1881604502 | Innovative Physical Therapy | Physical Therapist | 4455 S Padre Island Dr Ste 8, Corpus Christi, TX 78411-5166 | 2006-08-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | INNOVATIVE PHYSICAL THERAPY & HEALING ARTS | 485 East Main Street, Suite # 6, Ashland, OR 97520 |
| Washington State Corporations | INNOVATIVE PHYSICAL THERAPY INC. | 300 Deschutes Way Sw Ste 208 Mc-csc1, Tumwater, WA 98501 |
| New York State Corporations | INNOVATIVE PHYSICAL THERAPY OF LONG ISLAND, P.C. | 193 Jericho Tpke., Mineola, New York 11501 |
| Virginia Business Entities | INNOVATIVE PHYSICAL THERAPY PRODUCTS INC. | |
| New York State Corporations | INNOVATIVE PHYSICAL THERAPY SOLUTIONS, P.C. | Top of The Square, 109 Court St, Watertown, Ny 13601 |
| Colorado Business Entities | Innovative Physical Therapy, LLC | 4704 Harlan St, Suite 505, Denver, CO 80212 |
| Street Address |
4704 HARLAN ST SUITE 505 |
| City | DENVER |
| State | CO |
| Zip Code | 80212-7415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601370 | Hillary Presper | Social Worker | 4704 Harlan St, Denver, CO 80212-7415 | 2020-05-18 |
| 1891220513 | Nicole Marie Dillon | Speech-Language Pathologist | 4704 Harlan St, Suite 100, Denver, CO 80212-7415 | 2017-05-01 |
| 1548709728 | Integrative Health and Rehabilitation PC | General Practice | 4704 Harlan St, Suite 510, Denver, CO 80212-7415 | 2017-02-21 |
| 1336583921 | Chiropractic Wellness Center | Chiropractor | 4704 Harlan St, 510, Denver, CO 80212-7415 | 2013-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407382 | Mary Emma Fawcett | Counselor | Tennyson Center for Children, 2950 Tennyson St, Denver, CO 80212 | 2020-08-10 |
| 1205391422 | Carly Boeselt | Counselor | 5226 Tennyson St, Denver, CO 80212 | 2019-02-01 |
| 1639656176 | Amanda Jane Miller | Massage Therapist | 4433 West 29th Avenue, Suite 203, Denver, CO 80212 | 2018-07-27 |
| 1821587908 | Jolene Lyn Nawrocki | Nurse Practitioner | 5790 W 39th Place, Wheat Ridge, CO 80212 | 2018-05-04 |
| 1679078810 | Rachel Holder | Social Worker | 2905 Tennyson Street, Denver, CO 80212 | 2018-03-29 |
| 1497260723 | Timothy Mullins | Marriage & Family Therapist | 5100 Osceola St, Denver, CA 80212 | 2017-12-08 |
| 1619402757 | Alexis Lowe | Marriage & Family Therapist | 2700 Perry St, Denver, CO 80212 | 2017-04-26 |
| 1578962858 | Brandon Visscher | Dentist | 4277 Tennyson St Ste 102, Denver, CO 80212 | 2014-08-22 |
| 1558778712 | Kerri Mckee | Physician Assistant | 4500 W. 38th Ave, Suite 220, Denver, CO 80212 | 2014-07-18 |
| 1366889859 | John Fricas Sander | Counselor | 4150 Quitman Street, Denver, CO 80212 | 2013-05-24 |
| Find all providers in zip 80212 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774908 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 1660 S Albion St Ste 907, Denver, CO 80222-4046 | 2020-06-10 |
| 1144858564 | Rocky Mountain Surgical Inc | Specialist | 5140 Gray St, Denver, CO 80212-2847 | 2020-03-31 |
| 1336779495 | Kenneth Simmons | Specialist | 1225 S Bellaire St Apt 509, Denver, CO 80246-7753 | 2020-01-16 |
| 1386192797 | Nicole Teitch | Specialist | 6000 E Evans Ave Ste 400, Denver, CO 80222-5406 | 2016-09-14 |
| 1245686377 | Mile High Iom, LLC | Specialist | 652 N High St, Denver, CO 80218-3638 | 2016-05-07 |
| 1770944100 | Tina Waters | Specialist | 401 S Jersey St, Denver, CO 80224-1215 | 2016-03-12 |
| 1114392081 | Kalaya Lane | Specialist | 8370 E Northfield Blvd, Unit 1775, Denver, CO 80238-3132 | 2015-12-03 |
| 1487024220 | Keith Burkhardt | Specialist | 2727 E 2nd Ave, # 250, Denver, CO 80206-4886 | 2015-10-06 |
| 1992174395 | Maile Elizabeth Grace | Specialist | 4511 Quieto Ct, Denver, CO 80211-1560 | 2015-09-16 |
| 1639550866 | Peter Murr | Specialist | 1213 Olive St, Denver, CO 80220-2938 | 2015-06-12 |
| Find all providers in DENVER | ||||
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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.