NPIMap

Organization Active NPI

Advanced Physical and Sports Therapy, LLC

  • Physical Therapist
  • Castle Rock, CO
National Provider Identifier
1689801698
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6646 Issued in CO
Legal business name
ADVANCED PHYSICAL AND SPORTS THERAPY, LLC
Practice address
880 W Happy Canyon Rd Ste 145
Castle Rock, CO 80108-3915
Phone
(720) 733-3655
Fax
(720) 733-3656
NPI assigned
Jun 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Mr. Douglas Heckenkamp, P.T.NPI 1285856062
Title
Owner
Phone
(720) 733-3655

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 6646 CO Primary

Addresses

Primary practice location

880 W Happy Canyon Rd Ste 145
Castle Rock, CO 80108-3915

Mailing address

880 W Happy Canyon Rd Ste 145
Castle Rock, CO 80108-3915
Phone (720) 733-3655

National Provider Directory

National Provider Directory

Locations

880 W Happy Canyon Rd
Ste 145
Castle Rock, CO 80108
Phone (720) 733-3655

Practitioners & affiliated clinicians

Practitioners 5

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": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1689801698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W HAPPY CANYON RD STE 145",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083915",
            "telephone_number": "720-733-3655",
            "fax_number": "720-733-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W HAPPY CANYON RD STE 145",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083915",
            "telephone_number": "720-733-3655",
            "fax_number": "720-733-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL AND SPORTS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "HECKENKAMP",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-733-3655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.