Organization Active NPI

Douglas L Avery PT Professional LLC

  • Physical Therapist
  • Norwood, CO
National Provider Identifier
1528381092
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CO7498 Issued in CO
Legal business name
DOUGLAS L AVERY PT PROFESSIONAL LLC
Practice address
1607 Grand Ave
Norwood, CO 81423
Phone
(970) 327-0161
Fax
(970) 240-8823
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Douglas L Avery, PT
Title
Owner
Phone
(970) 327-0161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X CO7498 CO Primary

Addresses

Primary practice location

1607 Grand Ave
Norwood, CO 81423

Mailing address

PO Box 982
Norwood, CO 81423-0982
Phone (970) 327-0161

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1528381092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 982",
            "city": "NORWOOD",
            "state": "CO",
            "postal_code": "814230982",
            "telephone_number": "970-327-0161",
            "fax_number": "970-240-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 GRAND AVE",
            "city": "NORWOOD",
            "state": "CO",
            "postal_code": "81423",
            "telephone_number": "970-327-0161",
            "fax_number": "970-240-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS L AVERY PT PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-327-0161",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CO7498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.