NPIMap

Organization Active NPI

Altitude Physical Therapy & Sports Medicine LLC

Doing business as Altitude Physical Therapy - Boulder

  • Physical Therapy Clinic/Center
  • Boulder, CO
National Provider Identifier
1649860966
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ALTITUDE PHYSICAL THERAPY & SPORTS MEDICINE LLC
Doing business as
Altitude Physical Therapy - Boulder
Practice address
933 Alpine Ave
Boulder, CO 80304-3305
Phone
(303) 444-0378
Fax
(303) 444-0384
NPI assigned
Jan 20, 2021
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ALTITUDE PHYSICAL THERAPY & SPORTS MEDICINE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Sandra Lee Cranny, PT
Title
Vice-President
Phone
(303) 444-0378

Specialties & licenses 1

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

Addresses

Primary practice location

933 Alpine Ave
Boulder, CO 80304-3305

Mailing address

PO Box 21150
Boulder, CO 80308-4150
Phone (303) 546-9158

Other names 1

  • Altitude Physical Therapy - Boulder Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Altitude PT Sports Med LLC6 organizations share this tax ID, including this one
Part of
Altitude PT Sports Med LLC

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1649860966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "303-546-9158",
            "fax_number": "303-546-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 ALPINE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043305",
            "telephone_number": "303-444-0378",
            "fax_number": "303-444-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTITUDE PHYSICAL THERAPY & SPORTS MEDICINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTITUDE PHYSICAL THERAPY & SPORTS MEDICINE LLC",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "CRANNY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "303-444-0378",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altitude Physical Therapy - Boulder",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.