EXECUTIVE PHYSICAL THERAPY, INC. (NPI# 1588834121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588834121 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE PHYSICAL THERAPY, INC. |
| Practice Address |
247 Mountain Avenue Berthoud CO 80513 |
| Mailing Address |
Po Box 1319 Berthoud CO 80513-2319 |
| Practice Telephone | 9705322533 |
| Practice Fax Number | 9705325450 |
| Mailing Telephone | 9705322533 |
| Mailing Fax Number | 9705325450 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |
| Authorized Official Name | MS. CAROLINE CORNING CREAGER (OWNER) |
| Authorized Official Telephone | 9705322533 |
| 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 |
3219 | CO | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | EXECUTIVE PHYSICAL THERAPY, INC. | 6604 Kiva Ridge Dr, Berthoud, CO 80513-8986 |
| Street Address |
247 MOUNTAIN AVENUE |
| City | BERTHOUD |
| State | CO |
| Zip Code | 80513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858251 | Kristen Mcfarland | Physical Therapist | 247 Mountain Avenue, Berthoud, CO 80534 | 2019-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780233163 | Terri Campbell | Technician | 949 North County Road 23e, Berthoud, CO 80513 | 2019-09-09 |
| 1962948604 | Carolyn Hobson | Lactation Consultant, Non-RN | 817 Green Wood Drive, Berthoud, CO 80513 | 2017-01-18 |
| 1699978403 | Craig P. Farson | Dentist | 646 7 Th Street, Berthoud, CO 80513 | 2007-06-08 |
| 1104973387 | Kelly K. Murtagh | Physical Therapist | 516 Mountain Avenue, Berthoud, CO 80513 | 2007-01-03 |
| 1497815344 | Judi Lynn Ashley | Specialist | 548 Mountain Ave, Berthoud, CO 80513 | 2006-12-11 |
| 1699856054 | Elizabeth Rejeana Kolbe | Counselor | 548 Mountain Avenue, Berthoud, CO 80513 | 2006-10-18 |
| 1619072972 | Berthoud Drug, LLC | Pharmacy | 330 Mountain Ave, Berthoud, CO 80513 | 2006-09-13 |
| 1952322315 | Longmont United Hospital | Clinic/Center | 549 Mountain Avenue, Berthoud, CO 80513 | 2006-07-21 |
| 1851893788 | Kylea Ginger Rickard | Dental Hygienist | 430 Bimson Ave, Berthoud, CO 80513 | 2018-03-07 |
| 1962828384 | Berthoud Physical Therapy LLC | Physical Therapist | 516 Mountain Ave, Berthoud, CO 80513 | 2014-03-10 |
| Find all providers in zip 80513 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033315809 | Berthoud Physical Therapy LLC | Clinic/Center | 516 Mountain Ave, Berthoud, CO 80513 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629811 | Alpenstrong Physical Therapy LLC | Clinic/Center | 166 S Saint Vrain Ave, Estes Park, CO 80517-6355 | 2020-11-08 |
| 1467052258 | Panorama Orthopedics and Spine Center PC | Clinic/Center | 1402 S Parker Rd Ste A116, Denver, CO 80231-2758 | 2020-10-29 |
| 1942808548 | Panorama Orthopedics and Spine Center PC | Clinic/Center | 2706 28th St, Boulder, CO 80301-1222 | 2020-10-15 |
| 1477150597 | Anchor Physical Therapy & Wellness, Pllc | Clinic/Center | 1020 Nancy St, Fort Morgan, CO 80701-3726 | 2020-10-01 |
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1356957757 | Monument Physical Therapy LLC | Clinic/Center | 406 Chipeta Ave, Grand Junction, CO 81501-2532 | 2020-09-21 |
| 1699389288 | New Morning Physical Therapy, LLC | Clinic/Center | 6440 Tacoma Ct, Colorado Springs, CO 80915-4318 | 2020-09-01 |
| 1306455845 | Ascension Physical Therapy, Fitness and Wellness LLC | Clinic/Center | 600 S Cherry St Ste 230, Denver, CO 80246-1714 | 2020-07-30 |
| 1154930345 | Unbound Physical Therapy LLC | Clinic/Center | 3621 S Kalispell St, Aurora, CO 80013-2435 | 2020-07-23 |
| 1629686894 | Panorama Orthopedics & Spine Center, PC | Clinic/Center | 5540 Main Street, Suite #200, Westminster, CO 80031 | 2020-07-14 |
| 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.