One80 Physical Therapy Centennial

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ONE80 PHYSICAL THERAPY CENTENNIAL

Practice address

7275 S Revere Pkwy
#804
Centennial, CO 80112-6783

Phone

(720) 502-7023

NPI assigned

Feb 13, 2013

Organization subpart

Yes

Parent organization

ONE80 PHYSICAL THERAPYAs reported in NPPES

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

Authorized official

Name

Dr. Rhett Polka, DPT

Title

President

Phone

(970) 593-9300

Specialties & licenses 1

Addresses

Part of

One80 Physical Therapy PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• One80 Physical Therapy PC

  • Physical Therapist
  • Loveland, CO
  • NPI 1548289838
  NPPES parent name

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1316286164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 S REVERE PKWY",
            "address_2": "#804",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126783",
            "telephone_number": "720-502-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 S REVERE PKWY",
            "address_2": "#804",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126783",
            "telephone_number": "720-502-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE80 PHYSICAL THERAPY CENTENNIAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONE80 PHYSICAL THERAPY",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "POLKA",
        "authorized_official_first_name": "RHETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-593-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Centennial, CO
• Providers in Centennial, CO by specialty
• Physical Therapist in Colorado

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