NPIMap

Organization Active NPI

Colorado Institute of Developmental Pediatrics

Doing business as Adam's Camp

  • Pediatric Physical Therapist
  • Centennial, CO
National Provider Identifier
1386821742
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
COLORADO INSTITUTE OF DEVELOPMENTAL PEDIATRICS
Doing business as
Adam's Camp
Practice address
6767 S Spruce St
Suite 102
Centennial, CO 80112-1283
Phone
(303) 563-8290
NPI assigned
Jan 29, 2008
Last updated
Mar 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Laura B Johnson
Title
Billing & Finance Director
Phone
(303) 563-8290

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 1544516 CO
Pediatric Physical Therapist 2251P0200X NU Primary
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

6767 S Spruce St
Suite 102
Centennial, CO 80112-1283

Mailing address

6767 S Spruce St
Suite 102
Centennial, CO 80112-1283
Phone (303) 563-8290

Other names 1

  • Adam's Camp Doing business as

National Provider Directory

National Provider Directory

Locations

6767 S Spruce St
Ste 102
Centennial, CO 80112
Phone (303) 563-8290

Practitioners & affiliated clinicians

Practitioners 7

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1386821742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 S SPRUCE ST",
            "address_2": "SUITE 102",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121283",
            "telephone_number": "303-563-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 S SPRUCE ST",
            "address_2": "SUITE 102",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121283",
            "telephone_number": "303-563-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO INSTITUTE OF DEVELOPMENTAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING & FINANCE DIRECTOR",
        "authorized_official_telephone_number": "303-563-8290"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CO",
            "license": "1544516",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adam's Camp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.