Provider Demographics
NPI:1124769179
Name:ATLAS PHYSICAL THERAPY AT STAPLETON, PLLC
Entity type:Organization
Organization Name:ATLAS PHYSICAL THERAPY AT STAPLETON, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:BEBENDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-832-3700
Mailing Address - Street 1:3401 QUEBEC ST STE 5005
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-2341
Mailing Address - Country:US
Mailing Address - Phone:303-322-4900
Mailing Address - Fax:
Practice Address - Street 1:2828 W 44TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1429
Practice Address - Country:US
Practice Address - Phone:303-477-5303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLAS PHYSICAL THERAPY AT STAPLETON, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty