Provider Demographics
NPI:1154925295
Name:COLORADO PHYSIO THERAPY LLC
Entity type:Organization
Organization Name:COLORADO PHYSIO THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SLAVA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELITS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-219-8146
Mailing Address - Street 1:13710 E RICE PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1074
Mailing Address - Country:US
Mailing Address - Phone:720-219-8146
Mailing Address - Fax:303-479-2731
Practice Address - Street 1:1300 E BRIDGE ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-1988
Practice Address - Country:US
Practice Address - Phone:303-500-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty