Provider Demographics
NPI:1346044641
Name:SPARTAN PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:SPARTAN PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRENT
Authorized Official - Middle Name:R
Authorized Official - Last Name:ARTICHOKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-669-6434
Mailing Address - Street 1:3890 FEDERAL BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2054
Mailing Address - Country:US
Mailing Address - Phone:303-455-2225
Mailing Address - Fax:
Practice Address - Street 1:2992 W 39TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-2022
Practice Address - Country:US
Practice Address - Phone:720-644-6951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy