Little Stars Big Goals, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0010118 Issued in CO

Legal business name

LITTLE STARS BIG GOALS, LLC

Practice address

6845 Sapphire Pointe Blvd
Castle Rock, CO 80108-7705

Phone

(303) 883-3199

NPI assigned

Nov 2, 2017

Organization subpart

No

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

Authorized official

Name

Angela Lauren Douglas, DPT

Title

PT

Phone

(303) 883-3199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1023520798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 SAPPHIRE POINTE BLVD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087705",
            "telephone_number": "303-883-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 SAPPHIRE POINTE BLVD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087705",
            "telephone_number": "303-883-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE STARS BIG GOALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "303-883-3199",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0010118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.