NPIMap

Organization Active NPI

Fit Physical Therapy Prof LLC

  • Physical Therapy Clinic/Center
  • Littleton, CO
National Provider Identifier
1366442758
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FIT PHYSICAL THERAPY PROF LLC
Practice address
6612 S Ward St
Littleton, CO 80127-4855
Phone
(303) 409-2133
Fax
(303) 409-2233
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Mrs. Patty Costello
Title
Office Manager
Phone
(303) 409-2133

Specialties & licenses 1

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

Addresses

Primary practice location

6612 S Ward St
Littleton, CO 80127-4855

Mailing address

6612 S Ward St
Littleton, CO 80127-4855
Phone (303) 409-2133

Other practice location 1

1555 Dover St
Lakewood, CO 80215-3105
Phone (303) 409-2133

Other practice location 2

16799 E Lake Ave
Centennial, CO 80016-3079
Phone (303) 409-2133

Other practice location 3

10485 N Sheridan Blvd
Westminster, CO 80020-4135
Phone (303) 409-2133

Other practice location 4

6350 Eldridge St
Arvada, CO 80004-3616
Phone (303) 409-2133

Other practice location 5

2801 Youngfield St # 170
Golden, CO 80401-2263
Phone (303) 409-2133

Other practice location 6

2200 S Kipling St
Lakewood, CO 80227-2126
Phone (303) 409-2133

Other identifiers 1

IdentifierTypeStateIssuer
660925OtherCOBCBS PROVIDER #

Other names 1

  • FYZICAL Therapy & Balance Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000913 CO Part B Supplier - Clinic/Group Practice 3779470760 Receives reassigned benefits from 29 practitioners
3 other NPIs on this enrollment
Practice locations: Westminster, CO; Littleton, CO; Lakewood, CO; Golden, CO; Arvada, CO

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Fit Physical Therapy LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2801 Youngfield St
Ste 170
Golden, CO 80401
Phone (303) 409-2133

10485 Sheridan Blvd
Westminster, CO 80020
Phone (303) 409-2133

Ownership & related parties

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1366442758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 S WARD ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274855",
            "telephone_number": "303-409-2133",
            "fax_number": "303-409-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 S WARD ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274855",
            "telephone_number": "303-409-2133",
            "fax_number": "303-409-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Dover St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802153105",
            "country_code": "US",
            "telephone_number": "303-409-2133",
            "fax_number": "303-409-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16799 E Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "800163079",
            "country_code": "US",
            "telephone_number": "303-409-2133",
            "fax_number": "303-409-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10485 N Sheridan Blvd",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800204135",
            "country_code": "US",
            "telephone_number": "303-409-2133",
            "fax_number": "303-409-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6350 Eldridge St",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800043616",
            "country_code": "US",
            "telephone_number": "303-409-2133",
            "fax_number": "303-409-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Youngfield St # 170",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804012263",
            "country_code": "US",
            "telephone_number": "303-409-2133",
            "fax_number": "303-409-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 S Kipling St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802272126",
            "country_code": "US",
            "telephone_number": "303-409-2133",
            "fax_number": "303-409-2233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIT PHYSICAL THERAPY PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-409-2133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "660925",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.