Advanced Physical & Sports Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6646 Issued in CO

Legal business name

ADVANCED PHYSICAL & SPORTS THERAPY PC

Practice address

880 Happy Canyon Rd Ste 145
Castle Rock, CO 80108-3915

Phone

(720) 733-3655

Fax

(720) 733-3656

NPI assigned

Apr 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Douglas Heckenkamp, MPT

Title

Owner

Phone

(720) 733-3655

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Elizabeth Gilmore

  • Physical Therapist
  • Castle Rock, CO
  • NPI 1215143714
  NPD (past)
• Holly E Johnston, OTR,CHT

  • Hand Occupational Therapist
  • Boulder, CO
  • NPI 1659536902
  NPD (past)
• Sara Tibby, P.T.

  • Physical Therapist
  • Castle Rock, CO
  • NPI 1205058070
  NPD (past)
• Andrew Wagner

  • Physical Therapist
  • Oconto Falls, WI
  • NPI 1619140092
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1013039718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 HAPPY CANYON RD STE 145",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083915",
            "telephone_number": "720-733-3655",
            "fax_number": "720-733-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 HAPPY CANYON RD STE 145",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083915",
            "telephone_number": "720-733-3655",
            "fax_number": "720-733-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL & SPORTS THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "HECKENKAMP",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-733-3655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6646",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AD659056",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yen Adams
• Jessica Renee Adkins, CNM
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• Advanced Home Health Services Inc.
• Advanced Neurology Services, LLC
• Advanced Physical & Sports Therapy, LLC
• Advanced Physical and Sports Therapy, LLC
• Advanced Surgical Support
• Advanced Trauma Recovery LLC
• Advanced Urology, PLLC

• Physical Therapist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.