Active NPI
Cherry Creek Physical Therapy, PC
- Physical Therapy Clinic/Center
- Aurora, CO
National Provider Identifier
1457567653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Elise Lane, PT
- Title
- Clinic Director
- Phone
- (303) 388-1537
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
12371 E Cornell Ave
Bldg 15
Aurora, CO 80014
Phone (303) 962-2298
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.