NPIMap

Organization Active NPI

Adeo Colorado

Doing business as Adeo Physical Therapy

  • Physical Therapy Clinic/Center
  • Greeley, CO
National Provider Identifier
1548436504
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ADEO COLORADO
Doing business as
Adeo Physical Therapy
Practice address
2780 28TH Ave
Greeley, CO 80634-7803
Phone
(970) 339-2444
Fax
(970) 339-0068
NPI assigned
Apr 30, 2008
Last updated
Sep 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Leanne Johnston
Title
Clinic Director
Phone
(970) 339-0011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary
Rehabilitation Clinic/Center 261QR0400X NU

Addresses

Primary practice location

2780 28TH Ave
Greeley, CO 80634-7803

Mailing address

2780 28TH Ave
Greeley, CO 80634-7803
Phone (970) 339-2444

Other identifiers 1

IdentifierTypeStateIssuer
9000191539MedicaidCO

Other names 1

  • Adeo Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adeo Colorado3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2780 28th Ave
Greeley, CO 80634
Phone (970) 339-0011

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1548436504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 28TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347803",
            "telephone_number": "970-339-2444",
            "fax_number": "970-339-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 28TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347803",
            "telephone_number": "970-339-2444",
            "fax_number": "970-339-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEO COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "970-339-0011"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000191539",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adeo Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adeo Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.