Organization Active NPI

Avid Physical Therapy

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
National Provider Identifier
1366904880
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AVID PHYSICAL THERAPY
Practice address
6719 W 44TH Ave
Wheat Ridge, CO 80033-4731
Phone
(620) 680-0582
NPI assigned
Apr 3, 2019
Last updated
Aug 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
Bryce Burton, DPTNPI 1083014427
Title
Owner / Physical Therapist
Phone
(620) 680-0582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

6719 W 44TH Ave
Wheat Ridge, CO 80033-4731

Mailing address

12436 Vrain Cir
Broomfield, CO 80020-5766
Phone (620) 680-0582

National Provider Directory

National Provider Directory

Locations

6719 W 44th Ave
Wheat Ridge, CO 80033
Phone (303) 416-6803

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": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1366904880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12436 VRAIN CIR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205766",
            "telephone_number": "620-680-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 W 44TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334731",
            "telephone_number": "620-680-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVID PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "620-680-0582",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "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 Aug 5, 2019; 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.