Healthtech Therapy & Sports Performance Inc.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5490 Issued in CO

Legal business name

HEALTHTECH THERAPY & SPORTS PERFORMANCE INC.

Practice address

405 W 115TH Ave Unit 1
Northglenn, CO 80234-3097

Phone

(720) 977-9393

Fax

(720) 977-9363

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Ryan Willis

Title

Owner

Phone

(720) 977-9393

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265642243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 115TH AVE UNIT 1",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343097",
            "telephone_number": "720-977-9393",
            "fax_number": "720-977-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 115TH AVE UNIT 1",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343097",
            "telephone_number": "720-977-9393",
            "fax_number": "720-977-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHTECH THERAPY & SPORTS PERFORMANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-977-9393"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "5490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Orthopedic Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.