Organization Active NPI

Longevity Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Denver, CO
National Provider Identifier
1780329441
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
LONGEVITY PHYSICAL THERAPY LLC
Practice address
1872 S Pearl St
Denver, CO 80210-3137
Phone
(720) 819-6737
NPI assigned
Apr 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Joshua Elmquist, PTNPI 1992070478
Title
Physical Therapist
Phone
(509) 979-2997

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 1

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

Addresses

Primary practice location

1872 S Pearl St
Denver, CO 80210-3137

Mailing address

1807 S Clarkson St
Denver, CO 80210-3201
Phone (509) 979-2997

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL longevityrunning.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1780329441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 S CLARKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103201",
            "telephone_number": "509-979-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 S PEARL ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103137",
            "telephone_number": "720-819-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "ELMQUIST",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "509-979-2997",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "longevityrunning.com",
            "affiliation": "N",
            "endpointDescription": "josh website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1872 S Pearl St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802103137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 27, 2022; 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.