NPIMap

Organization Active NPI

Coal Creek Physical Therapy, LLC

  • Physical Therapist
  • Louisville, CO
National Provider Identifier
1740238120
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COAL CREEK PHYSICAL THERAPY, LLC
Practice address
315 W South Boulder Rd
Ste. # 100
Louisville, CO 80027-1156
Phone
(303) 666-4151
Fax
(303) 666-4166
NPI assigned
May 5, 2006
Last updated
May 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Ms. Julie A Byrt, MSPTNPI 1366449415
Title
Clinic Owner
Phone
(720) 891-0532

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CO Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

315 W South Boulder Rd
Ste. # 100
Louisville, CO 80027-1156

Mailing address

315 W South Boulder Rd
Ste. # 100
Louisville, CO 80027-1156
Phone (303) 666-4151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111202000432 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133014160 Receives reassigned benefits from 30 practitioners
Practice locations: Boulder, CO; Louisville, CO

National Provider Directory

National Provider Directory

Locations

350 Broadway St
Ste 50
Boulder, CO 80305
Phone (303) 499-2879

315 W South Boulder Rd
Ste 100
Louisville, CO 80027
Phone (303) 666-4151

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1740238120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W SOUTH BOULDER RD",
            "address_2": "STE. # 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271156",
            "telephone_number": "303-666-4151",
            "fax_number": "303-666-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W SOUTH BOULDER RD",
            "address_2": "STE. # 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271156",
            "telephone_number": "303-666-4151",
            "fax_number": "303-666-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAL CREEK PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "BYRT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "720-891-0532",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.