COLORADO SPINE THERAPY, LLC (NPI# 1679766984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679766984 |
| Entity Type | Organization |
| Organization Name | COLORADO SPINE THERAPY, LLC |
| Practice Address |
3900 E Mexico Ave Denver CO 80210-3940 |
| Mailing Address |
P.o. Box 21150 Flatirons Practice Management Boulder CO 80308-4150 |
| Practice Telephone | 3038425614 |
| Mailing Telephone | 3035469158 |
| Mailing Fax Number | 3035469107 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2010-07-01 |
| Authorized Official Name | MR. STEFAN JH VAN DUURSEN (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3038425614 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5012 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3900 E MEXICO AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80210-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932190121 | Robert G Fante | Ophthalmology | 3900 E Mexico Ave, Suite 510, Denver, CO 80210-3940 | 2005-11-04 |
| 1033419023 | Francesca Starr | Counselor | 3900 E Mexico Ave, Suite 700, Denver, CO 80210-3940 | 2010-10-25 |
| 1750613634 | Comprehensive Eye Care, LLC | Optometrist | 3900 E Mexico Ave, #100, Denver, CO 80210-3940 | 2010-02-03 |
| 1457501728 | Mile High Corneal Specialists PC | Clinic/Center | 3900 E Mexico Ave, Suite 100, Denver, CO 80210-3940 | 2008-09-23 |
| 1376690537 | Kerry Jarvis | Optometrist | 3900 E Mexico Ave, Ste 102, Denver, CO 80210-3940 | 2007-01-03 |
| 1184686081 | Nancy A Houlder | Ophthalmology | 3900 E Mexico Ave, Ste 102, Denver, CO 80210-3940 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408360 | Carley Danielle Westerson | Counselor | 290 North Williams Street, Room #205, Denver, CO 80210 | 2019-10-14 |
| 1427690429 | Katherine Elizabeth Mullen | Chiropractor | 1313 S Clarkson St. Unit 1, Denver, CO 80210 | 2019-10-10 |
| 1922665975 | Amy Welsh, Inc | Occupational Therapist | 1588 S Logan St, Denver, CO 80210 | 2019-05-24 |
| 1598328346 | Heather Lynn Stone | Social Worker | 950 E Porter Avenue #670, Denver, CO 80210 | 2019-04-17 |
| 1669952909 | Christopher G. Sharrow | Social Worker | 1777 S. Harrison St., Suite 1200, Denver, CO 80210 | 2018-08-16 |
| 1922598952 | Rebecca Turlo | Hearing Instrument Specialist | 950 E Harvard Ave Ste E620, Denver, CO 80210 | 2018-05-15 |
| 1215446083 | Alex James Koch | Acupuncturist | 1110 E Evans Ave, Denver, CO 80210 | 2017-09-25 |
| 1043738495 | Sarah Urycki | Counselor | 2317 A S Race Street, Denver, CO 80210 | 2017-09-06 |
| 1770032641 | The Young Men's Christian Association of Metropolitan Denver | Health Educator | 3901 E Yale Ave, Denver, CO 80210 | 2016-10-03 |
| 1831647437 | Samantha Johnson | Nurse Practitioner | 450 E Harvard Ave, Denver, CO 80210 | 2016-09-13 |
| Find all providers in zip 80210 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316483043 | Laura Gill | Physical Therapist | 780 Bannock St, Denver Health Hospital Pavilion B, 0113, Denver, CO 80204-5131 | 2017-01-19 |
| 1194105528 | Lauren Kealy | Physical Therapist | 5043 Akron St, Denver, CO 80238-3743 | 2015-06-01 |
| 1053720789 | Elevation Physical Therapy, Pllc | Physical Therapist | 2533 W Dunkeld Pl, Denver, CO 80211-3738 | 2014-08-06 |
| 1417212622 | Ryan Wooderson | Physical Therapist | 710 S Ash St Ste 170, Denver, CO 80246-1934 | 2012-07-13 |
| 1831461979 | Christine Prelaz | Physical Therapist | 8621 E 21st Ave, Denver, CO 80238-3302 | 2012-02-06 |
| 1932405446 | Kelly Thornton | Physical Therapist | 555 E 10th Ave Apt 502, Denver, CO 80203-3244 | 2011-01-31 |
| 1326256512 | Karen Maloney Backstrom | Physical Therapist | 1069 Detroit St, Denver, CO 80206-3325 | 2007-05-19 |
| 1669549382 | Carla Ann Habuda | Physical Therapist | 3738 E 6th Ave, Denver, CO 80206-4550 | 2006-11-29 |
| 1124103148 | William James Feldhake | Physical Therapist | 1550 S Pearl St, Suite 101, Denver, CO 80210-2645 | 2006-10-26 |
| 1164510038 | Purpose Medical Professional Corporation | Physical Therapist | 2828 W 44th Ave, Denver, CO 80211-1429 | 2006-10-10 |
| 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.