Organization Active NPI

Layne Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Golden, CO
National Provider Identifier
1063461440
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LAYNE PHYSICAL THERAPY, LLC
Practice address
2801 Youngfield St Ste 390
Golden, CO 80401-2265
Phone
(720) 458-6555
Fax
(303) 274-8063
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Ms. Debra Jan Layne, PT
Title
Co Owner, Managing Member
Phone
(303) 601-6666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2801 Youngfield St Ste 390
Golden, CO 80401-2265

Mailing address

295 Broken Fence Rd
Boulder, CO 80302-9607
Phone (720) 458-6555

National Provider Directory

National Provider Directory

Locations

2801 Youngfield St
Ste 150
Golden, CO 80401
Phone (303) 238-4277

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1063461440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 BROKEN FENCE RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803029607",
            "telephone_number": "720-458-6555",
            "fax_number": "303-274-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 390",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012265",
            "telephone_number": "720-458-6555",
            "fax_number": "303-274-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYNE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "LAYNE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "CO OWNER, MANAGING MEMBER",
        "authorized_official_telephone_number": "303-601-6666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.