NPIMap

Organization Active NPI

Developmental Physical Therapy Services, LLC

  • Early Intervention Provider Agency
  • Louisville, CO
National Provider Identifier
1679940084
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
PTL.0012773 Issued in CO
Legal business name
DEVELOPMENTAL PHYSICAL THERAPY SERVICES, LLC
Practice address
600 Spruce Cir
Louisville, CO 80027-2707
Phone
(612) 203-1045
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Michelle Stein KraljNPI 1982912549
Title
Physical Therapist
Phone
(612) 203-1045

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
Early Intervention Provider Agency 252Y00000X PTL.0012773 CO Primary

Addresses

Primary practice location

600 Spruce Cir
Louisville, CO 80027-2707

Mailing address

600 Spruce Cir
Louisville, CO 80027-2707

Other identifiers 1

IdentifierTypeStateIssuer
65220277MedicaidCO

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": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1679940084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SPRUCE CIR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SPRUCE CIR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272707",
            "telephone_number": "612-203-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL PHYSICAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "KRALJ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "STEIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "612-203-1045"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CO",
            "license": "PTL.0012773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65220277",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.