NPIMap

Organization Active NPI

Step Up Physical Therapy PLLC

  • Physical Therapist
  • Centennial, CO
National Provider Identifier
1780913798
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8569 Issued in CO
Legal business name
STEP UP PHYSICAL THERAPY PLLC
Practice address
8033 S Race Way
Centennial, CO 80122-3217
Phone
(303) 909-9393
Fax
(303) 738-5544
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Mr. Eric Robert Deines, DPTNPI 1104800713
Title
Physical Therapist, Manager
Phone
(303) 909-9393

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 8569 CO Primary

Addresses

Primary practice location

8033 S Race Way
Centennial, CO 80122-3217

Mailing address

8033 S Race Way
Centennial, CO 80122-3217
Phone (303) 909-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100428000919 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375670037 Receives reassigned benefits from 11 practitioners
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1780913798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 S RACE WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223217",
            "telephone_number": "303-909-9393",
            "fax_number": "303-738-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 S RACE WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223217",
            "telephone_number": "303-909-9393",
            "fax_number": "303-738-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "DEINES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, MANAGER",
        "authorized_official_telephone_number": "303-909-9393",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.