Organization Active NPI

Exos Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1174292205
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXOS PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Practice address
12482 W Ken Caryl Ave
Littleton, CO 80127-3726
Phone
(720) 545-0486
NPI assigned
Sep 11, 2021
Last updated
Sep 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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

Authorized official

Name
Brett Allen Rivers
Title
VP
Phone
(901) 299-0087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

12482 W Ken Caryl Ave
Littleton, CO 80127-3726

Mailing address

12482 W Ken Caryl Ave
Littleton, CO 80127-3726

National Provider Directory

National Provider Directory
Tax ID family
Exos Physical Therapy and Sports Medicine LLC2 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.

Locations

12482 W Ken Caryl Ave
Littleton, CO 80127
Phone (720) 545-0486

NPI Registry JSON

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

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631318400000",
    "number": "1174292205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12482 W KEN CARYL AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12482 W KEN CARYL AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273726",
            "telephone_number": "720-545-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOS PHYSICAL THERAPY AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "901-299-0087"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.