CENTURA VENTURES, LLC (NPI# 1730711862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730711862 |
| Entity Type | Organization |
| Organization Name | CENTURA VENTURES, LLC |
| Other Organization Name | CENTURA PHYSICAL THERAPY AT PUEBLO |
| Practice Address |
4112 Outlook Blvd Ste 96 Pueblo CO 81008-1667 |
| Mailing Address |
Po Box 801172 Kansas City MO 64180-1172 |
| Practice Telephone | 7195626200 |
| Practice Fax Number | 7195626225 |
| Mailing Telephone | 8009530104 |
| Mailing Fax Number | 3037656670 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | MS. DEBRA CARPENTER (VP, AMBULATORY SERVICES) |
| Authorized Official Telephone | 3037656998 |
| Authorized Official Credential | RN |
| 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 |
|---|---|---|---|
| OLD NPI | 1073882197 | 01 | |
| CO | 9000133413 | 05 |
| Other Name | Type Code |
|---|---|
| Centura Physical Therapy at Pueblo | Doing Business As Name - Organization |
| Centura Physical Therapy at Pueblo | Other Name - Individual/Organization |
| XCS PUEBLO CTR REHAB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629600754 | Centura Ventures, LLC | Clinic/Center | 1263 Lake Plaza Dr Ste 210b, Colorado Springs, CO 80906-3564 | 2020-02-06 |
| 1194357236 | Centura Ventures, LLC | Clinic/Center | 17230 Jackson Creek Pkwy Ste 170, Monument, CO 80132-7303 | 2020-02-06 |
| 1437254612 | Centura Ventures, LLC | Home Health | 18 School Rd, Ste 225, Frisco, CO 80443 | 2006-09-13 |
| 1174634349 | Centura Ventures, LLC | Home Health | 6901 S Havana St, Centennial, CO 80112-3805 | 2006-08-31 |
| 1528690195 | Centura Ventures, LLC | Clinic/Center | 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 | 2020-02-11 |
| 1326670464 | Centura Ventures, LLC | Clinic/Center | 11960 Lioness Way Ste 150, Parker, CO 80134-5640 | 2020-02-06 |
| 1932731072 | Centura Ventures, LLC | Clinic/Center | 3010 N Circle Dr Ste 120, Colorado Springs, CO 80909-1182 | 2020-02-06 |
| 1891327920 | Centura Ventures, LLC | Clinic/Center | 41 State Highway 67, Woodland Park, CO 80863-5008 | 2020-02-06 |
| 1710519848 | Centura Ventures, LLC | Clinic/Center | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-02-06 |
| 1902275936 | Centura Ventures, LLC | Physical Medicine & Rehabilitation | 7233 Church Ranch Blvd, Juniper Pod, Westminster, CO 80021-4094 | 2015-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CENTURA VENTURES, LLC | 9100 E. Mineral Circle, Centennial, CO 80112 |
| Street Address |
4112 OUTLOOK BLVD STE 96 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083882898 | Amy Joan Alsum | Social Worker | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2008-02-14 |
| 1346841129 | Pueblo Radiological Group, P.C. | Radiology | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2020-11-06 |
| 1811557234 | Eric Knight | Physical Therapist | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2019-06-18 |
| 1881188860 | Alexa Wright | Physical Therapist | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2018-06-21 |
| 1962911156 | Miranda Rose Citrone | Physical Therapist | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2017-09-20 |
| 1922555762 | Joanna Nilssen | Occupational Therapist | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2016-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203632 | Parkview Medical Center, Inc | Clinic/Center | 3676 Parker Blvd Ste 330, Pueblo, CO 81008-2213 | 2020-01-06 |
| 1437572583 | Synergy Physical Therapy and Wellness | Clinic/Center | 1080 Eagleridge Blvd, Pueblo, CO 81008-2130 | 2014-01-26 |
| 1104116003 | Becky Joann Martin | Clinic/Center | 100 San Carlos Rd Apt 310, Pueblo, CO 81005-2665 | 2011-04-12 |
| 1073784500 | Kathe Davis, Pt, Pllc | Clinic/Center | 511 West 29th St, Suite B, Pueblo, CO 81008 | 2008-03-12 |
| 1174642045 | Physical Therapy Connections, PC | Clinic/Center | 58 Glen Royal Dr, Pueblo, CO 81005-2174 | 2007-03-29 |
| 1093322547 | Southern Colorado Health & Rehab | Clinic/Center | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2020-09-29 |
| 1548877095 | Southern Colorado Health & Rehab | Clinic/Center | 387 E Enterprise Dr Ste 160, Pueblo, CO 81007-8403 | 2020-09-29 |
| 1417596834 | Parkview Medical Center, Inc | Clinic/Center | 3204 E Spaulding Ave, Pueblo, CO 81008-2279 | 2020-01-02 |
| 1841627858 | Back In Action, LLC | Clinic/Center | 3673 Parker Blvd, Suite 160, Pueblo, CO 81008-2210 | 2013-10-04 |
| 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.