Organization Active NPI

Colorado Physical Therapy Specialists PLLC

  • Hand Occupational Therapist
  • Fort Collins, CO
National Provider Identifier
1053959528
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
COLORADO PHYSICAL THERAPY SPECIALISTS PLLC
Doing business as
Colorado In Motion
Practice address
3744 S Timberline Rd Ste 103
Fort Collins, CO 80525-4334
Phone
(970) 988-9538
NPI assigned
Dec 16, 2019
Organization subpart
Yes
Parent organization
COLORADO PHYSICAL THERAPY SPECIALISTS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Susan Caroline Flynn, PT, DPT
Title
Dir. of HR and Finance
Phone
(970) 221-1201

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X Primary

Addresses

Primary practice location

3744 S Timberline Rd Ste 103
Fort Collins, CO 80525-4334

Mailing address

210 W Magnolia St Ste 110
Fort Collins, CO 80521-2915
Phone (970) 221-1201

Other identifiers 1

IdentifierTypeStateIssuer
9000102217MedicaidCO

Other names 1

  • Colorado In Motion Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado Physical Therapy Specialists PLLC6 organizations share this tax ID, including this one
Part of
Colorado Physical Therapy Specialists PLLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1053959528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MAGNOLIA ST STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212915",
            "telephone_number": "970-221-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 S TIMBERLINE RD STE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254334",
            "telephone_number": "970-988-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PHYSICAL THERAPY SPECIALISTS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO PHYSICAL THERAPY SPECIALISTS PLLC",
        "enumeration_date": "2019-12-16",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "DIR. OF HR AND FINANCE",
        "authorized_official_telephone_number": "970-221-1201",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000102217",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado In Motion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.