CHOICE CITY PHYSICAL THERAPY (NPI# 1659852051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659852051 |
| Entity Type | Organization |
| Organization Name | CHOICE CITY PHYSICAL THERAPY |
| Practice Address |
2100 W Drake Rd Ste 3 Fort Collins CO 80526-1400 |
| Practice Telephone | 9704608544 |
| Mailing Telephone | 9704608544 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-11-13 |
| Authorized Official Name | SAMUEL TYSON FISCHER (OWNER) |
| Authorized Official Telephone | 9704608544 |
| Authorized Official Credential | DPT |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 18780385 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Choice City Physical Therapy LLC | 2100 W Drake Rd Ste 3, Fort Collins, CO 80526 |
| Street Address |
2100 W DRAKE RD STE 3 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652985 | Refuge Physiotherapy | Clinic/Center | 2212 Vermont Dr Apt H203, Fort Collins, CO 80525-6656 | 2020-05-28 |
| 1992342836 | Up and Running Physical Therapy, LLC | Clinic/Center | 220 Smokey Street, Located Inside of Whetstone Climbing, Fort Collins, CO 80525-8052 | 2019-12-10 |
| 1144618851 | Fort Collins Functional Movement Institute | Clinic/Center | 147 W Oak St, Unit 111, Fort Collins, CO 80524-2824 | 2015-01-03 |
| 1790820900 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 2620 E. Prospect Road, Suite 160, Fort Collins, CO 80525 | 2007-02-21 |
| 1992790141 | Advanced Spine & Rehabilitation | Clinic/Center | 343 W Drake Rd, Ste 102, Fort Collins, CO 80526-6317 | 2005-09-14 |
| 1083609234 | Relieva | Clinic/Center | 4025 Automation Way, B-1, Fort Collins, CO 80525-3446 | 2005-09-14 |
| 1235760190 | Physiofit | Clinic/Center | 1017 Robertson St, Fort Collins, CO 80524-3926 | 2020-01-30 |
| 1730748971 | Poudre Valley Health Care Inc. | Clinic/Center | 1106 E Prospect Rd Ste 200, Fort Collins, CO 80525-5304 | 2019-06-11 |
| 1386202885 | Andrew Kensley Pt | Clinic/Center | 4248 Mcmurry Ave, Fort Collins, CO 80525-3470 | 2019-05-31 |
| 1144685801 | Fort Collins Functional Movement Institute | Clinic/Center | 301 E Lincoln Ave, Fort Collins, CO 80524 | 2015-12-23 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on CHOICE CITY PHYSICAL THERAPY.
| 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.