Roots Physical Therapy and Wellness LLC

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

Legal business name

ROOTS PHYSICAL THERAPY AND WELLNESS LLC

Practice address

168 CTC Blvd Unit D
Louisville, CO 80027-3093

Phone

(720) 704-7401

NPI assigned

Apr 18, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Mary A Finck, DPT

Title

Owner/Physical Therapist

Phone

(720) 704-7401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Roots Physical Therapy and Wellness Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Roots Physical Therapy and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Roots Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Louisville, CO
  • NPI 1235872912
  NPD tax ID

Locations

Practitioners 1

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

• Mary Pavlantos, DPT

  • Physical Therapist
  • Louisville, CO
  • NPI 1659783850

  Neuromuscular Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1154064236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2297 DOGWOOD DR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167988",
            "telephone_number": "720-704-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 CTC BLVD UNIT D",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800273093",
            "telephone_number": "720-704-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "FINCK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "720-704-7401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT TAKING MEDICAID OR COMMERCIAL INSURANCE",
            "identifier": "1659783850",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hellonote",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "168 Ctc Blvd Unit D",
            "city": "Louisville",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800273093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Roots Physical Therapy and Wellness",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Roots Physical Therapy and Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rocky Mountain Hyperbaric Institutellc
• Jeremy David Rodgers, D.C., A.T.C.
• David Andrew Rogers, RPH
• Debra H Rolfson, M.D.
• Molly Elizabeth Romary, MD
• Roots Physical Therapy and Wellness LLC
• Charles Joseph Rosicky, LCSW
• Katrina M. Rosin
• Alison Roth, LMFT MA
• David Andrew Rothman

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Louisville, CO
• Providers in Louisville, CO by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.