Physical Therapy and Lifetime Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

10315 Issued in CO

Legal business name

PHYSICAL THERAPY AND LIFETIME WELLNESS, LLC

Practice address

701 S Logan St
Suite 104
Denver, CO 80209-4199

Phone

(800) 615-7550

Fax

(800) 797-7110

NPI assigned

Nov 2, 2013

Organization subpart

No

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

Authorized official

Name

Elizabeth Taylor Walley, PT, DPT, OCS, CSCS

Title

Physical Therapist, Owner

Phone

(303) 578-2490

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1649609405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61041",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061041",
            "telephone_number": "800-615-7550",
            "fax_number": "800-797-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S LOGAN ST",
            "address_2": "SUITE 104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094199",
            "telephone_number": "800-615-7550",
            "fax_number": "800-797-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND LIFETIME WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "WALLEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "303-578-2490",
        "authorized_official_credential": "PT, DPT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "10315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Therapy LLC
• Sonemala Phommatha, PA-C
• Phonda Hackett, PSYD
• Physical and Regenerative Medicine of Colorado
• Physical and Regenerative Medicine of Denver
• Physical Therapy Consultants Inc.
• Physician'S Choice Medical, LLC
• Physicians' Choice Home Care, Inc.
• Physicor Rehabilitation LLC
• Physio Pro Physical Therapy & Conditioning

• Physical Therapy Clinic/Center in Denver, CO
• Providers in Denver, 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 7, 2013; 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.