North Boulder Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1413 Issued in CO

Legal business name

NORTH BOULDER PHYSICAL THERAPY

Practice address

2750 Broadway St
Boulder, CO 80304-3573

Phone

(303) 440-3034

Fax

(303) 402-1665

NPI assigned

Jul 2, 2015

Last updated

Mar 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Jan Layne, PT

Title

Owner

Phone

(303) 601-6666

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1497138895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 BROKEN FENCE RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803029607",
            "telephone_number": "303-601-6666",
            "fax_number": "303-447-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043573",
            "telephone_number": "303-440-3034",
            "fax_number": "303-402-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BOULDER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "LAYNE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-601-6666",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "1413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124076583",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Norris, MSW, LCSW
• Gregory A Norris, DDS
• North Boulder Chiropractic
• North Boulder Dental Group
• North Boulder Dental Partners PLLP (Comfort Dental North Boulder)
• North Boulder Physical Therapy Sports Rehabilitation LLC
• North Denver Anesthesia Associates, LLC
• North Recovery Alliance LLP
• Northstar Transitions
• Jennifer Louise Norton, PH.D.

• Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.