Organization Active NPI

Holistic Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
National Provider Identifier
1245730597
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PTL0008000 Issued in CO
Legal business name
HOLISTIC PHYSICAL THERAPY, PC
Practice address
6650 W 44TH Ave Ste 1
Wheat Ridge, CO 80033-4711
Phone
(303) 993-9767
NPI assigned
Feb 13, 2018
Last updated
Feb 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Jennifer Elise Lane, PTNPI 1659309359
Title
Owner
Phone
(303) 993-9767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTL0008000 CO Primary

Addresses

Primary practice location

6650 W 44TH Ave Ste 1
Wheat Ridge, CO 80033-4711

Mailing address

6650 W 44TH Ave Ste 1
Wheat Ridge, CO 80033-4711
Phone (303) 993-9767

National Provider Directory

National Provider Directory

Locations

6650 W 44th Ave
Ste 1
Wheat Ridge, CO 80033
Phone (303) 993-9767

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1245730597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W 44TH AVE STE 1",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334711",
            "telephone_number": "303-993-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W 44TH AVE STE 1",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334711",
            "telephone_number": "303-993-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-993-9767",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "PTL0008000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.