Active NPI
Colorado Physical Therapy Specialists PLLC
- Pediatric Occupational Therapist
- Greeley, CO
National Provider Identifier
1750929543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- 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 PLLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | |||
| Pediatric Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000160524 | Medicaid | CO |
Other names 1
- Colorado In Motion
National Provider Directory
National Provider Directory- Tax ID family
- Colorado Physical Therapy Specialists PLLC
- 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.
-
- Pediatric Occupational Therapist
- Johnstown, CO
- NPI 1033757505
-
- Hand Occupational Therapist
- Fort Collins, CO
- NPI 1053959528
-
- Physical Therapist
- Fort Collins, CO
- NPI 1639717424
-
- Physical Therapist
- Fort Collins, CO
- NPI 1942848734
-
- Physical Therapist
- Windsor, CO
- NPI 1972141760
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.
-
- Physical Therapist
- Fort Collins, CO
- NPI 1386702298
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.