NPIMap

Organization Active NPI

Childrens Therapy Services of Colorado, Inc.

  • Speech-Language Pathologist
  • Northglenn, CO
National Provider Identifier
1649513284
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHILDRENS THERAPY SERVICES OF COLORADO, INC.
Practice address
10701 Melody Dr Ste 100
Northglenn, CO 80234-4130
Phone
(720) 872-6472
Fax
(303) 452-3573
NPI assigned
Apr 2, 2013
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Mrs. Tisa Marie Van Dyke
Title
President
Phone
(720) 212-8156

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

10701 Melody Dr Ste 100
Northglenn, CO 80234-4130

Mailing address

10701 Melody Dr Ste 100
Northglenn, CO 80234-4130
Phone (720) 212-8156

National Provider Directory

National Provider Directory

Locations

10701 Melody Dr
Ste 100
Northglenn, CO 80234
Phone (720) 212-8156

11160 Huron St
Ste 200
Northglenn, CO 80234
Phone (720) 212-8156

Practitioners & affiliated clinicians

Practitioners 57

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 57

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1649513284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 MELODY DR STE 100",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344130",
            "telephone_number": "720-212-8156",
            "fax_number": "303-452-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 MELODY DR STE 100",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344130",
            "telephone_number": "720-872-6472",
            "fax_number": "303-452-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS THERAPY SERVICES OF COLORADO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "VAN DYKE",
        "authorized_official_first_name": "TISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-212-8156",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.