Roots Physical Therapy and Wellness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ROOTS PHYSICAL THERAPY AND WELLNESS LLC

Practice address

168 CTC Blvd Unit D
Louisville, CO 80027

Phone

(720) 704-7401

NPI assigned

Apr 19, 2022

Organization subpart

No

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

Authorized official

Name

Mary A Finck, DPT

Title

Owner/Physical Therapist

Phone

(720) 704-7401

Specialties & licenses 1

Addresses

Other names 1

• Roots Physical Therapy and Wellness Former legal business name

Electronic endpoints 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

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Louisville, CO
  • NPI 1154064236
  NPD tax ID

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
  NPD

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1235872912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2297 DOGWOOD DRIVE",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "80516",
            "telephone_number": "505-400-3234"
        },
        {
            "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": "80027",
            "telephone_number": "720-704-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "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_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hellonote",
            "affiliation": "N",
            "endpointDescription": "Hellonote",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "168 CTC Blvd Unit D",
            "city": "Louisville",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Roots Physical Therapy and Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• 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
• Cheryl Conly Rowan, MA-SLP

• Physical Therapy Clinic/Center in Louisville, CO
• Providers in Louisville, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.