Organization Active NPI

Lodo Physical Therapy, PLLC

  • Orthopedic Physical Therapist
  • Denver, CO
National Provider Identifier
1700169745
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
7838 Issued in CO
Legal business name
LODO PHYSICAL THERAPY, PLLC
Practice address
1401 17TH St
Suite 475
Denver, CO 80202-1268
Phone
(303) 913-6516
Fax
(303) 412-0645
NPI assigned
Sep 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Phil Koffler, MSPT
Title
Owner/Physical Therapist
Phone
(303) 912-9220

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 7838 CO
Ergonomics Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251E1200X 7838 CO
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X 7838 CO
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 7838 CO Primary

Addresses

Primary practice location

1401 17TH St
Suite 475
Denver, CO 80202-1268

Mailing address

1401 17TH St
Suite 475
Denver, CO 80202-1268
Phone (303) 913-6516

Other identifiers 2

IdentifierTypeStateIssuer
1639128374OtherNPI
11604678OtherCAQH PROVIDER #

National Provider Directory

National Provider Directory

Locations

1401 17th St
Ste 475
Denver, CO 80202
Phone (303) 515-2500

Practitioners & affiliated clinicians

Practitioners 4

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": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1700169745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 17TH ST",
            "address_2": "SUITE 475",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021268",
            "telephone_number": "303-913-6516",
            "fax_number": "303-412-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 17TH ST",
            "address_2": "SUITE 475",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021268",
            "telephone_number": "303-913-6516",
            "fax_number": "303-412-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODO PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "KOFFLER",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "303-912-9220",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7838",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CO",
            "license": "7838",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "7838",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "7838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639128374",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER #",
            "identifier": "11604678",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.