Organization Active NPI

Summit Performance Physiotherapy LLC

  • Orthopedic Physical Therapist
  • Denver, CO
National Provider Identifier
1750137766
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
SUMMIT PERFORMANCE PHYSIOTHERAPY LLC
Practice address
2298 W 28TH Ave Unit C-538
Denver, CO 80211-4414
Phone
(423) 534-0979
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Dr. Andrew Keith Becker, DPT
Title
Owner
Phone
(423) 534-0979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

2298 W 28TH Ave Unit C-538
Denver, CO 80211-4414

Mailing address

2298 W 28TH Ave Unit C-538
Denver, CO 80211-4414
Phone (423) 534-0979

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1750137766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 W 28TH AVE UNIT C-538",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114414",
            "telephone_number": "423-534-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 W 28TH AVE UNIT C-538",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114414",
            "telephone_number": "423-534-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PERFORMANCE PHYSIOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-534-0979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 21, 2024; 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.