Provider Demographics
NPI:1316777550
Name:NEXT ERA PHYSICAL THERAPY CASTLE ROCK, PC
Entity type:Organization
Organization Name:NEXT ERA PHYSICAL THERAPY CASTLE ROCK, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:THURLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:720-644-0181
Mailing Address - Street 1:6851 S HOLLY CIR STE 110
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1050
Mailing Address - Country:US
Mailing Address - Phone:720-644-0181
Mailing Address - Fax:720-381-6868
Practice Address - Street 1:158 CAPRICE CT
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-1556
Practice Address - Country:US
Practice Address - Phone:720-644-0181
Practice Address - Fax:720-381-6868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty