Organization Active NPI

Therapeutic and Rehabilitative Associates, LLC

  • Physical Therapy Clinic/Center
  • Thornton, CO
National Provider Identifier
1891979217
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THERAPEUTIC AND REHABILITATIVE ASSOCIATES, LLC
Practice address
12610 Hudson St
Thornton, CO 80241-2302
Phone
(303) 884-4599
Fax
(888) 330-3523
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Mr. Luis R. FloresNPI 1275857518
Title
Managing Member
Phone
(303) 884-4599

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

12610 Hudson St
Thornton, CO 80241-2302

Mailing address

4031 S Narcissus Way
Denver, CO 80237-2025
Phone (303) 884-4599

Other practice location 1

1655 Yarrow St
Lakewood, CO 80214-6030
Phone (303) 238-1275

Other identifiers 2

IdentifierTypeStateIssuer
06-66650OtherCO1891979217
06-66650OtherMEDICARE OPT

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": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1891979217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 S NARCISSUS WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372025",
            "telephone_number": "303-884-4599",
            "fax_number": "888-330-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 HUDSON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412302",
            "telephone_number": "303-884-4599",
            "fax_number": "888-330-3523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1655 Yarrow St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802146030",
            "country_code": "US",
            "telephone_number": "303-238-1275",
            "fax_number": "303-274-0825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPEUTIC AND REHABILITATIVE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "303-884-4599",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1891979217",
            "identifier": "06-66650",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OPT",
            "identifier": "06-66650",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.