A. Liddle Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

A. LIDDLE PHYSICAL THERAPY, LLC

Practice address

405 Windchime PL
Colorado Springs, CO 80919-1984

Phone

(720) 281-0397

NPI assigned

May 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Angela Marie Liddle, PT DPT OCS

Title

Owner- Physical Therapist

Phone

(720) 281-0397

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1801322276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14602 BLUE WINGS WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809214806",
            "telephone_number": "720-281-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 WINDCHIME PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191984",
            "telephone_number": "720-281-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. LIDDLE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "LIDDLE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER- PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "720-281-0397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT DPT OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 May 4, 2017; 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.