Pinnacle Physical Therapy, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

1373 Issued in CO

Legal business name

PINNACLE PHYSICAL THERAPY, PC

Practice address

1449 Lodge LN Unit B
Boulder, CO 80303-8104

Phone

(303) 502-4450

Fax

(303) 440-7242

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Kristie M Bennett, PT

Title

Owner/ PT

Phone

(303) 502-4450

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1053362285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4266 REDWOOD CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011636",
            "telephone_number": "303-502-4450",
            "fax_number": "303-440-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 LODGE LN UNIT B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803038104",
            "telephone_number": "303-502-4450",
            "fax_number": "303-440-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ PT",
        "authorized_official_telephone_number": "303-502-4450",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "1373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "C500538",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1373",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally McJoynt Pillsbury, NCTMB
• Claire Louise Pince, M.S.
• Jeff A Pincus, MSW
• Emma Lee Manee Pinkerton, PMHNP-BC
• Melissa Pinkerton
• Alexa Sara Pinsker, M.A. M.S.
• Piper Child Psychology PLLC
• Lyle Pipher, D.C.
• Vicki Lynn Pippin, B.A.
• Adriane Pippins, MSW

• Specialist in Boulder, CO
• Providers in Boulder, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.