Organization Active NPI

Sport and Spine PT, Brighton, PLLC

  • Physical Therapy Clinic/Center
  • Brighton, CO
National Provider Identifier
1669570016
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPORT AND SPINE PT, BRIGHTON, PLLC
Practice address
2418 E Bridge St
Brighton, CO 80601-2546
Phone
(303) 655-8699
Fax
(303) 655-8698
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Edo Zylstra, PTNPI 1710948757
Title
Owner
Phone
(303) 655-8699

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 CO Primary

Addresses

Primary practice location

2418 E Bridge St
Brighton, CO 80601-2546

Mailing address

2418 E Bridge St
Brighton, CO 80601-2546
Phone (303) 655-8699

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1669570016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012546",
            "telephone_number": "303-655-8699",
            "fax_number": "303-655-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012546",
            "telephone_number": "303-655-8699",
            "fax_number": "303-655-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT AND SPINE PT, BRIGHTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "ZYLSTRA",
        "authorized_official_first_name": "EDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-655-8699",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.