NPIMap

Organization Active NPI

Olympian PLLC

  • Physical Therapy Clinic/Center
  • Boulder, CO
National Provider Identifier
1669092219
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OLYMPIAN PLLC
Practice address
2755 Iris Ave Apt 8
Boulder, CO 80304-2440
Phone
(803) 271-9500
NPI assigned
Apr 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Charalampos Fotiou, PTNPI 1477092849
Title
Owner
Phone
(803) 271-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2755 Iris Ave Apt 8
Boulder, CO 80304-2440

Mailing address

2755 Iris Ave Apt 8
Boulder, CO 80304-2440
Phone (803) 271-9500

Other names 1

  • Olympian Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1669092219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 IRIS AVE APT 8",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042440",
            "telephone_number": "803-271-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 IRIS AVE APT 8",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042440",
            "telephone_number": "803-271-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "FOTIOU",
        "authorized_official_first_name": "CHARALAMPOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-271-9500",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympian Physical Therapy",
            "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 Apr 23, 2020; 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.