Organization Active NPI

Certified Hand Therapy Services LLC

  • Hand Physical Therapist
  • Boulder, CO
National Provider Identifier
1124599956
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
Legal business name
CERTIFIED HAND THERAPY SERVICES LLC
Practice address
1800 30TH St Ste 206
Boulder, CO 80301-1026
Phone
(720) 845-0001
Fax
(720) 204-1748
NPI assigned
Dec 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Ms. Mitizi Harrison, BSPT
Title
Doctor of Physical Theraoy
Phone
(720) 829-2564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251H1200X Primary

Addresses

Primary practice location

1800 30TH St Ste 206
Boulder, CO 80301-1026

Mailing address

121 S Tejon St Ste 900
Colorado Springs, CO 80903-2207
Phone (720) 829-2564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190117001047 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8426394107 Receives reassigned benefits from 6 practitioners
Practice locations: Boulder, CO
O20191010000826 CO DME Supplier - Independently-Practicing Physical Therapist 8426394107 Practice locations: Boulder, CO

National Provider Directory

National Provider Directory

Locations

2299 Pearl St
Ste 300
Boulder, CO 80302

2299 Pearl St
Ste 200
Boulder, CO 80302
Phone (720) 845-0001

2299 Pearl St
Ste 211
Boulder, CO 80302
Phone (720) 845-0001

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1124599956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S TEJON ST STE 900",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032207",
            "telephone_number": "720-829-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 30TH ST STE 206",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011026",
            "telephone_number": "720-845-0001",
            "fax_number": "720-204-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED HAND THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MITIZI",
        "authorized_official_title_or_position": "DOCTOR OF  PHYSICAL THERAOY",
        "authorized_official_telephone_number": "720-829-2564",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSPT"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.