Innovative Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4686 Issued in CO

Legal business name

INNOVATIVE PHYSICAL THERAPY LLC

Doing business as

Avanti Therapy

Practice address

5350 Manhattan Cir Ste 100
Boulder, CO 80303-4272

Phone

(303) 543-1201

Fax

(303) 543-1206

NPI assigned

Oct 15, 2008

Organization subpart

No

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

Authorized official

Name

Julie V Edelman, PTNPI 1609895960

Title

PT/Owner

Phone

(303) 543-1201

Specialties & licenses 1

Addresses

Other names 1

• Avanti Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Vogel Edelman, PT

  • Orthopedic Physical Therapist
  • Boulder, CO
  • NPI 1609895960
  Medicare reassignment NPD Authorized official
• Angela Besel, PT

  • Physical Therapist
  • Lafayette, CO
  • NPI 1316449184
  Medicare reassignment NPD
• Jennifer Ann Knox

  • Physical Therapy Clinic/Center
  • Longmont, CO
  • NPI 1649575184
  Medicare reassignment NPD
• Melanie Skye, PT

  • Physical Therapist
  • Northglenn, CO
  • NPI 1447988142
  Medicare reassignment NPD
• Darlene Gale Zerwekh Reardon, MPT

  • Physical Therapy Clinic/Center
  • Longmont, CO
  • NPI 1073094223
  Medicare reassignment NPD
• Catherine Lee Branagan, PT

  • Physical Therapist
  • Schaumburg, IL
  • NPI 1730567546
  NPD

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1831341338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 MANHATTAN CIR STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034272",
            "telephone_number": "303-543-1201",
            "fax_number": "303-543-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 MANHATTAN CIR STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034272",
            "telephone_number": "303-543-1201",
            "fax_number": "303-543-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "303-543-1201",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avanti Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.