NPIMap

Organization Active NPI

Colorado Physical Therapy Institute, P.C.

  • Specialist
  • Broomfield, CO
National Provider Identifier
1114998788
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2539 Issued in CO
Legal business name
COLORADO PHYSICAL THERAPY INSTITUTE, P.C.
Practice address
300 Nickel St
Ste 6
Broomfield, CO 80020-2097
Phone
(303) 460-9129
Fax
(303) 469-2324
NPI assigned
Jan 31, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Roger Carl Rettig, MSPTNPI 1639251986
Title
Owner/Director
Phone
(303) 460-9129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2539 CO Primary

Addresses

Primary practice location

300 Nickel St
Ste 6
Broomfield, CO 80020-2097

Mailing address

300 Nickel St
Ste 6
Broomfield, CO 80020-2097
Phone (303) 460-9129

Other identifiers 1

IdentifierTypeStateIssuer
24950769MedicaidCO

National Provider Directory

National Provider Directory

Locations

1022 Depot Hill Rd
Ste B
Broomfield, CO 80020
Phone (303) 460-9129

300 Nickel St
Ste 6
Broomfield, CO 80020
Phone (303) 460-9129

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1114998788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NICKEL ST",
            "address_2": "STE 6",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202097",
            "telephone_number": "303-460-9129",
            "fax_number": "303-469-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NICKEL ST",
            "address_2": "STE 6",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202097",
            "telephone_number": "303-460-9129",
            "fax_number": "303-469-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PHYSICAL THERAPY INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "RETTIG",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "303-460-9129",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "2539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24950769",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.