Organization Active NPI

Cherry Creek Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Aurora, CO
National Provider Identifier
1457567653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CHERRY CREEK PHYSICAL THERAPY, PC
Practice address
12371 E Cornell Ave
Building 15
Aurora, CO 80014-3323
Phone
(303) 962-2298
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Elise Lane, PTNPI 1659309359
Title
Clinic Director
Phone
(303) 388-1537

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 Primary

Addresses

Primary practice location

12371 E Cornell Ave
Building 15
Aurora, CO 80014-3323

Mailing address

12371 E Cornell Ave
Building 15
Aurora, CO 80014-3323
Phone (303) 962-2298

National Provider Directory

National Provider Directory

Locations

12371 E Cornell Ave
Bldg 15
Aurora, CO 80014
Phone (303) 962-2298

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457567653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12371 E CORNELL AVE",
            "address_2": "BUILDING 15",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143323",
            "telephone_number": "303-962-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12371 E CORNELL AVE",
            "address_2": "BUILDING 15",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143323",
            "telephone_number": "303-962-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY CREEK PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "303-388-1537",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • 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.