Delta Physical Therapy and Sports Rehabilitation PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3276 Issued in CO

Legal business name

DELTA PHYSICAL THERAPY AND SPORTS REHABILITATION PC

Practice address

185 Stafford LN
Delta, CO 81416-2229

Phone

(970) 874-5747

NPI assigned

Feb 25, 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

Mr. Jim Robertson Jr., P.T.NPI 1457552101

Title

Owner Ceo

Phone

(970) 874-5747

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Jim J Robertson, P.T.

  • Physical Therapist
  • Delta, CO
  • NPI 1457552101
  Authorized official Same address or phone
• Susan Robertson

  • Physical Therapist
  • Delta, CO
  • NPI 1538463161
  NPD (past)

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326174483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 STAFFORD LN",
            "address_2": "PO BOX 827",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162229",
            "telephone_number": "970-874-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 STAFFORD LN",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162229",
            "telephone_number": "970-874-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA PHYSICAL THERAPY AND SPORTS REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "970-874-5747",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "3276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27956288",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delta County Urgent Care, Inc.
• Delta Family Physicians PC
• Delta Health and Wellness Center
• Delta Orthopedics, LLC
• Delta Orthopedics, LLC
• Denis a Warobiew OD PC
• Dillon Companies LLC (City Market Pharmacy)
• Larry Gene Dillon, MD
• Diversicare of Delta, LLC (Diversicare of Delta)
• Christopher Daniel Dondlinger, M.D.

• Physical Therapist in Delta, CO
• Providers in Delta, CO by specialty
• 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.