Organization Active NPI

Colorado Physical Therapy Specialists PLLC

  • Pediatric Occupational Therapist
  • Greeley, CO
National Provider Identifier
1750929543
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
COLORADO PHYSICAL THERAPY SPECIALISTS PLLC
Doing business as
Colorado In Motion
Practice address
1901 56TH Ave Ste 110
Greeley, CO 80634-2950
Phone
(970) 266-5639
NPI assigned
Dec 12, 2019
Organization subpart
Yes
Parent organization
COLORADO PHYSICAL THERAPY SPECIALISTS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Susan Caroline Flynn, PT, DPT
Title
Dir. of HR and Finance
Phone
(970) 221-1201

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

1901 56TH Ave Ste 110
Greeley, CO 80634-2950

Mailing address

210 W Magnolia St Ste 110
Fort Collins, CO 80521-2915
Phone (970) 221-1201

Other identifiers 1

IdentifierTypeStateIssuer
9000160524MedicaidCO

Other names 1

  • Colorado In Motion Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado Physical Therapy Specialists PLLC6 organizations share this tax ID, including this one
Part of
Colorado Physical Therapy Specialists PLLC

Other organizations with this tax ID 5

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

Locations

1901 56th Ave
Ste 110
Greeley, CO 80634
Phone (970) 301-4206

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1750929543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MAGNOLIA ST STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212915",
            "telephone_number": "970-221-1201",
            "fax_number": "800-675-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 56TH AVE STE 110",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342950",
            "telephone_number": "970-266-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PHYSICAL THERAPY SPECIALISTS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO PHYSICAL THERAPY SPECIALISTS PLLC",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "DIR. OF HR AND FINANCE",
        "authorized_official_telephone_number": "970-221-1201",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000160524",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado In Motion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.