NPIMap

Organization Active NPI

Front Range Pediatric Therapies LLC

  • Home Health Agency
  • Colorado Springs, CO
National Provider Identifier
1700405099
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FRONT RANGE PEDIATRIC THERAPIES LLC
Practice address
5265 N Academy Blvd Ste 3300
Colorado Springs, CO 80918-4082
Phone
(888) 701-9216
Fax
(866) 569-1087
NPI assigned
Apr 16, 2020
Organization subpart
Yes
Parent organization
FRONT RANGE PEDIATRIC THERAPIES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Julie Anne Herndon, MS, CCC-SLPNPI 1568440410
Title
Ownder/Administrator
Phone
(888) 701-9216

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5265 N Academy Blvd Ste 3300
Colorado Springs, CO 80918-4082

Mailing address

5265 N Academy Blvd Ste 3300
Colorado Springs, CO 80918-4082
Phone (888) 701-9216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190719000063 CO Part A Provider - Home Health Agency 2264768860 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO

Home health agency certification: CCN 067581

Legal name
FRONT RANGE PEDIATRIC THERAPIES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 19, 2019
Last certification
Dec 19, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 4, 2016 in CO
Enrollment address
5265 N Academy Blvd
Ste 3300
Colorado Springs, CO 80918-4082

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Front Range Pediatric Therapies LLCCCN 067581 · All quality measures
Ownership
Proprietary
Certified
Dec 19, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Front Range Pediatric Therapies LLC2 organizations share this tax ID, including this one
Part of
Front Range Pediatric Therapies LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6660 Delmonico Dr
Ste D
Colorado Springs, CO 80919
Phone (719) 471-6512

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julie a Herndon Individual 5% Or Greater Direct Ownership InterestOwner Aug 4, 2016 100%
W-2 Managing EmployeeAdministrator Aug 4, 2016

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

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": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1700405099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 N ACADEMY BLVD STE 3300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184082",
            "telephone_number": "888-701-9216",
            "fax_number": "866-569-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 N ACADEMY BLVD STE 3300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184082",
            "telephone_number": "888-701-9216",
            "fax_number": "866-569-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE PEDIATRIC THERAPIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRONT RANGE PEDIATRIC THERAPIES LLC",
        "enumeration_date": "2020-04-16",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNDER/ADMINISTRATOR",
        "authorized_official_telephone_number": "888-701-9216",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.