Serc of Woodland Park LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SERC OF WOODLAND PARK LLC

Practice address

406 E Grace Ave
Woodland Park, CO 80863-3127

Phone

(719) 687-3767

Fax

(719) 687-2525

NPI assigned

Nov 2, 2005

Organization subpart

No

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

Authorized official

Name

Matthew Lawrence Thessing, PT

Title

Owner

Phone

(719) 687-3767

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063403855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E GRACE AVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633127",
            "telephone_number": "719-687-3767",
            "fax_number": "719-687-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E GRACE AVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633127",
            "telephone_number": "719-687-3767",
            "fax_number": "719-687-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERC OF WOODLAND PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "THESSING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-687-3767",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Salagaj, PHARMD
• Sandra W Lester PSYD LLC
• Molly Schreiber, PA-C
• Danny Searcy, FNP-C
• Select Physical Therapy of West Denver Limited Partnership (Select Physical Therapy)
• James M Simson, M.S.W.
• Loretta A Slawter
• Sleep Colorado Incorporated (Woodland Park Sleep Center)
• Sharon Smith McCormick, PH.D. LCSW
• Holly Sparks, L.AC.

• Physical Therapist in Woodland Park, CO
• Providers in Woodland Park, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.