Pediatric Enhancement of Developmental Skills LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PEDIATRIC ENHANCEMENT OF DEVELOPMENTAL SKILLS LLC

Practice address

15006 Overland TRL
Brighton, CO 80603

Phone

(303) 974-0246

NPI assigned

Sep 25, 2017

Organization subpart

No

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

Authorized official

Name

Rose-Angela Scrivner, PT, DPT

Title

President

Phone

(303) 974-0246

Specialties & licenses 1

Addresses

Other names 1

• PEDS Other name

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1093224784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806010121",
            "telephone_number": "303-974-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15006 OVERLAND TRL",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "80603",
            "telephone_number": "303-974-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ENHANCEMENT OF DEVELOPMENTAL SKILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "SCRIVNER",
        "authorized_official_first_name": "ROSE-ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-974-0246",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Brighton, CO
• Providers in Brighton, 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 10, 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.