Organization Active NPI

Summit Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Lakewood, CO
National Provider Identifier
1942408174
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
9154 Issued in CO
Legal business name
SUMMIT PHYSICAL THERAPY, INC.
Practice address
830 Kipling St
Suite 120
Lakewood, CO 80215-5899
Phone
(303) 903-1169
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Sonia Araceli Hernandez, DPT
Title
Clinical Director
Phone
(303) 903-1169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 9154 CO Primary

Addresses

Primary practice location

830 Kipling St
Suite 120
Lakewood, CO 80215-5899

Mailing address

830 Kipling St
Suite 120
Lakewood, CO 80215-5899
Phone (303) 903-1169

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1942408174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 KIPLING ST",
            "address_2": "SUITE 120",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155899",
            "telephone_number": "303-903-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 KIPLING ST",
            "address_2": "SUITE 120",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155899",
            "telephone_number": "303-903-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "ARACELI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "303-903-1169",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CO",
            "license": "9154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.