Excel Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7428 Issued in PA

Legal business name

EXCEL PHYSICAL THERAPY, PC

Practice address

1420 W Midway Blvd
Broomfield, CO 80020-2090

Phone

(303) 469-8388

Fax

(303) 469-8588

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Brad Poppie, MPT

Title

Director of Physical Therapy

Phone

(720) 982-2000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376625574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W MIDWAY BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202090",
            "telephone_number": "303-469-8388",
            "fax_number": "303-469-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W MIDWAY BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202090",
            "telephone_number": "303-469-8388",
            "fax_number": "303-469-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POPPIE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "720-982-2000",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "7428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everside Health, LLC (Marathon Health, Broomfield CO)
• Jennie P Ewalt, M.S., CCC-SLP
• Kristin Michelle Ewing, M.A.
• Samantha Ewing, AU.D.
• Suzie Ewing, MA
• Anna Eydinova
• F.R.I.E.N.D.S. of Broomfield, Inc (Friends Unlimited)
• Elisabeth Fabrizio, FNP-BC
• Elizabeth Falconer, MA, BC-HIS
• Lara Faler-Cohen, PSYD

• Physical Therapist in Broomfield, CO
• Providers in Broomfield, 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.