Fresh Tracks Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

20151098681 Issued in CO

Legal business name

FRESH TRACKS PHYSICAL THERAPY LLC

Doing business as

Comprehensive Physical Therapy Specialists

Practice address

400 Indiana St
Suite 320
Golden, CO 80401-5027

Phone

(720) 536-0580

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Joshua Elmquist, DPT

Title

Physical Therapist

Phone

(509) 979-2997

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Comprehensive Physical Therapy Specialists Doing business as

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1548633753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST",
            "address_2": "SUITE 320",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST",
            "address_2": "SUITE 320",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027",
            "telephone_number": "720-536-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH TRACKS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "ELMQUIST",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "509-979-2997",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "20151098681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24122874",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Physical Therapy Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Fred
• James Evan Freels, DPT
• Matthew Freeman
• Scott Ryan Freeman, DMD
• Will Freking, MD
• Raven Freund
• Thomas G Friermood, MD
• Jack Friesen, DPT
• Hector Lopez Frisbie, P.A.
• Leonard Froehlich

• Physical Therapy Clinic/Center in Golden, CO
• Providers in Golden, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.