Provider Demographics
NPI:1528440872
Name:CSEPE, ELLEN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:
Last Name:CSEPE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10125 W SAN JUAN WAY
Mailing Address - Street 2:STE 120
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6330
Mailing Address - Country:US
Mailing Address - Phone:303-933-9057
Mailing Address - Fax:303-933-9108
Practice Address - Street 1:10125 W SAN JUAN WAY
Practice Address - Street 2:STE 120
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6330
Practice Address - Country:US
Practice Address - Phone:303-933-9057
Practice Address - Fax:303-933-9108
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-23
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0013283225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist