The Nourished PT, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE NOURISHED PT, LLC

Practice address

6452 Fig St Unit C
Arvada, CO 80004-1060

Phone

(720) 466-5600

Fax

(720) 696-9987

NPI assigned

Apr 5, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Collier, PTNPI 1750740247

Title

Owner

Phone

(720) 446-5600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Collier, PT, DPT

  • Physical Therapist
  • Denver, CO
  • NPI 1750740247
  NPD Authorized official

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1497334791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 TELLER ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032226",
            "telephone_number": "720-466-5600",
            "fax_number": "720-696-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6452 FIG ST UNIT C",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800041060",
            "telephone_number": "720-466-5600",
            "fax_number": "720-696-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NOURISHED PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-446-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Arvada, CO
• Providers in Arvada, CO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.