NPIMap

Organization Active NPI

Physical Therapy & Industrial Services PC

Doing business as Physical Therapy & Injury Specialists

  • Specialist
  • Englewood, CO
National Provider Identifier
1649229089
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2357 Issued in CO
Legal business name
PHYSICAL THERAPY & INDUSTRIAL SERVICES PC
Doing business as
Physical Therapy & Injury Specialists
Practice address
3601 S Pearl St
Suite 200
Englewood, CO 80113-3805
Phone
(303) 757-1554
Fax
(303) 757-3104
NPI assigned
May 10, 2006
Last updated
Aug 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Renee J Gonzalez
Title
Administrative Director
Phone
(303) 757-1554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 2357 CO Primary

Addresses

Primary practice location

3601 S Pearl St
Suite 200
Englewood, CO 80113-3805

Mailing address

3601 S Pearl St
Suite 200
Englewood, CO 80113-3805
Phone (303) 757-1554

Other names 1

  • Physical Therapy & Injury Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040320000386 CO Part B Supplier - Clinic/Group Practice 3779474838 Receives reassigned benefits from 11 practitioners
Practice locations: Englewood, CO

National Provider Directory

National Provider Directory

Locations

3601 S Pearl St
Unit 200
Englewood, CO 80113
Phone (303) 757-1554

9785 Maroon Cir
Ste 157
Englewood, CO 80112

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1649229089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S PEARL ST",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133805",
            "telephone_number": "303-757-1554",
            "fax_number": "303-757-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S PEARL ST",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133805",
            "telephone_number": "303-757-1554",
            "fax_number": "303-757-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & INDUSTRIAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "303-757-1554"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "2357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy & Injury Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physical Therapy & Injury Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.