SPORT AND SPINE PT, BRIGHTON, PLLC (NPI# 1669570016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669570016 |
| Entity Type | Organization |
| Organization Name | SPORT AND SPINE PT, BRIGHTON, PLLC |
| Practice Address |
2418 E Bridge St Brighton CO 80601-2546 |
| Practice Telephone | 3036558699 |
| Practice Fax Number | 3036558698 |
| Mailing Telephone | 3036558699 |
| Mailing Fax Number | 3036558698 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-03-31 |
| Authorized Official Name | EDO ZYLSTRA (OWNER) |
| Authorized Official Telephone | 3036558699 |
| 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 |
CO | Ambulatory Health Care Facilities |
| Street Address |
2418 E BRIDGE ST |
| City | BRIGHTON |
| State | CO |
| Zip Code | 80601-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710948757 | Edo Zylstra | Physical Therapist | 2418 E Bridge St, Brighton, CO 80601-2546 | 2006-03-29 |
| 1700426004 | Melanie Lan Diep | Physical Therapist | 2418 E Bridge St, Brighton, CO 80601-2546 | 2020-01-14 |
| 1912356585 | Laura Catherine Behrens | Massage Therapist | 2418 E Bridge St, Brighton, CO 80601-2546 | 2016-06-06 |
| 1104292069 | Jessica Hendry Cody | Physical Therapist | 2418 E Bridge St, Brighton, CO 80601-2546 | 2015-08-14 |
| 1881017135 | Richard Dodge | Massage Therapist | 2418 E Bridge St, Brighton, CO 80601-2546 | 2014-01-22 |
| 1720423726 | Sinda J Smith | Health Maintenance Organization | 2418 E Bridge St, Brighton, CO 80601-2546 | 2013-05-03 |
| 1083950919 | Craig Dean Horn | Physical Therapy Assistant | 2418 E Bridge St, Brighton, CO 80601-2546 | 2012-12-21 |
| 1427341353 | Carlee Joann Delgado | Massage Therapist | 2418 E Bridge St, Brighton, CO 80601-2546 | 2011-05-25 |
| 1447489729 | Adam Engel | Physical Therapist | 2418 E Bridge St, Brighton, CO 80601-2546 | 2009-07-08 |
| 1457507105 | Alexis Pauline Haws | Physical Therapist | 2418 E Bridge St, Brighton, CO 80601-2546 | 2008-08-13 |
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|---|---|---|---|---|
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| 1972038313 | Girls Only Ministry | Community Based Residential Treatment Facility, Mental Illness | 655 North 16th Way, Brighton, CO 80601 | 2017-04-24 |
| 1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
| 1427418953 | Alexis Martinez | Dental Hygienist | 1860 Egbert Street, Brighton, CO 80601 | 2016-02-25 |
| 1427413160 | Haile Ogbalidet | Pharmacist | 1605 E. Bridge St, Brighton, CO 80601 | 2015-12-23 |
| 1841686128 | Jamie Nichole Campbell | Pediatrics | 1606 Prairie Center Parkway Premier Pediatrics, Suite 300, Brighton, CO 80601 | 2015-04-13 |
| 1568881795 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 100 N 50th Ave, Brighton, CO 80601 | 2014-04-15 |
| 1841616554 | Rebecca Sholeh Philman | Registered Nurse | 423 Mt Elbert St, Brighton, CO 80601 | 2014-03-06 |
| 1770928756 | Capital Success, LLC | Clinic/Center | 203 Telluride St Unit 750, Brighton, CO 80601 | 2013-05-06 |
| 1992045884 | Kristin Michelle Uchida | Massage Therapist | 27 S 4th Ave, Brighton, CO 80601 | 2013-03-01 |
| Find all providers in zip 80601 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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|---|---|---|---|---|
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| 1104063775 | Shaw Enterprises | Clinic/Center | 401 Rio Rancho Way, Brighton, CO 80601-3539 | 2009-01-19 |
| 1598779449 | Physiotherapy Associates Inc | Clinic/Center | 10484 Citation Dr, Ste 200, Brighton, MI 48116-6565 | 2006-07-28 |
| 1457711236 | Jennifer Vogler LLC | Clinic/Center | 2801 Purcell St, Brighton, CO 80601-3551 | 2016-03-07 |
| 1073842167 | Healing Touch Physical & Occupational Therapy Inc. | Clinic/Center | 455 E Grand River Ave, Suite 104a, Brighton, MI 48116-1551 | 2009-12-18 |
| 1588890453 | Victory Physical Therapy, Inc. | Clinic/Center | 35 Soldiers Field Pl, Brighton, MA 02135-1103 | 2009-06-05 |
| 1134382799 | Occupational Health Centers of Michigan PC | Clinic/Center | 7960 Grand River Rd, Suite 100, Brighton, MI 48114-7330 | 2008-07-03 |
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| 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 |
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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.