Organization Active NPI

Therapydia Colorado, Inc.

  • Physical Therapy Clinic/Center
  • Boulder, CO
National Provider Identifier
1902207863
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THERAPYDIA COLORADO, INC.
Practice address
1727 15TH St
Suite 100
Boulder, CO 80302-6341
Phone
(760) 822-8274
NPI assigned
Sep 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Tasha Demkiw
Title
Operations Manager
Phone
(760) 822-8274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1727 15TH St
Suite 100
Boulder, CO 80302-6341

Mailing address

18 E Blithedale Ave
Suite 21
Mill Valley, CA 94941-1908
Phone (415) 389-8677

National Provider Directory

National Provider Directory
Tax ID family
Therapydia Colorado2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1727 15th St
Ste 100
Boulder, CO 80302
Phone (760) 822-8274

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1902207863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E BLITHEDALE AVE",
            "address_2": "SUITE 21",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411908",
            "telephone_number": "415-389-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 15TH ST",
            "address_2": "SUITE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026341",
            "telephone_number": "760-822-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPYDIA COLORADO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "DEMKIW",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "760-822-8274"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.