Neuro Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1403 Issued in CO

Legal business name

NEURO PHYSICAL THERAPY PLLC

Practice address

3850 Independence CT
Wheat Ridge, CO 80033-4108

Phone

(303) 921-5376

NPI assigned

Jul 25, 2018

Organization subpart

No

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

Authorized official

Name

Ellen Bormann Belle, PT

Title

Physical Therapist

Phone

(303) 921-5376

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1770060428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 INDEPENDENCE CT",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334108",
            "telephone_number": "303-921-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 INDEPENDENCE CT",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334108",
            "telephone_number": "303-921-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "BELLE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "BORMANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "303-921-5376",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "1403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.