Professional Touch PT, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL-10363 Issued in CO

Legal business name

PROFESSIONAL TOUCH PT, LLC

Practice address

2144 N Main St
Suite 3
Longmont, CO 80501-8402

Phone

(303) 678-7170

Fax

(303) 678-7134

NPI assigned

Aug 3, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Lauren Coolidge Park, D.P.T.

Title

Owner

Phone

(970) 218-3529

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1134433089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018402",
            "telephone_number": "303-678-7170",
            "fax_number": "303-678-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805018402",
            "telephone_number": "303-678-7170",
            "fax_number": "303-678-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL TOUCH PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "COOLIDGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-218-3529",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL-10363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.