NPIMap

Organization Active NPI

Front Range Physical Therapy Services LLC

Doing business as Fyzical Therapy and Balance Centers

  • Physical Therapy Clinic/Center
  • Louisville, CO
National Provider Identifier
1902682339
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FRONT RANGE PHYSICAL THERAPY SERVICES LLC
Doing business as
Fyzical Therapy and Balance Centers
Practice address
1075 E South Boulder Rd Ste 140
Louisville, CO 80027-2559
Phone
(720) 534-0781
NPI assigned
Sep 1, 2023
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Marc Phillips, PT, DPT, OCSNPI 1043404213
Title
Owner
Phone
(719) 232-8079

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 NU Primary

Addresses

Primary practice location

1075 E South Boulder Rd Ste 140
Louisville, CO 80027-2559

Mailing address

1075 E South Boulder Rd Ste 140
Louisville, CO 80027-2559
Phone (720) 534-0781

Other names 1

  • Fyzical Therapy and Balance Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240119001613 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0042662579 Receives reassigned benefits from 3 practitioners
Practice locations: Louisville, CO

National Provider Directory

National Provider Directory

Locations

1075 E South Boulder Rd
Ste 140
Louisville, CO 80027
Phone (303) 204-3699

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1902682339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 E SOUTH BOULDER RD STE 140",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272559",
            "telephone_number": "720-534-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E SOUTH BOULDER RD STE 140",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272559",
            "telephone_number": "720-534-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT RANGE PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-232-8079",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.