Organization Active NPI

Take Charge Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Monument, CO
National Provider Identifier
1154662591
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2201 Issued in CO
Legal business name
TAKE CHARGE PHYSICAL THERAPY, PLLC
Practice address
325 Second St Ste O
Monument, CO 80132-7935
Phone
(719) 481-3747
Fax
(719) 488-6547
NPI assigned
Mar 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Mrs. Kandra Kay Lovato, P.T
Title
Physical Therapist/Owner
Phone
(719) 651-2447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2201 CO Primary

Addresses

Primary practice location

325 Second St Ste O
Monument, CO 80132-7935

Mailing address

17110 Mitchell Ave
Monument, CO 80132-8156
Phone (719) 651-2447

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1154662591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17110 MITCHELL AVE",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328156",
            "telephone_number": "719-651-2447",
            "fax_number": "719-488-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SECOND ST STE O",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801327935",
            "telephone_number": "719-481-3747",
            "fax_number": "719-488-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE CHARGE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "LOVATO",
        "authorized_official_first_name": "KANDRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "719-651-2447",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "2201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.