Provider Demographics
NPI:1528856572
Name:EQUILIBRIUM PHYSIOTHERAPY PLLC
Entity type:Organization
Organization Name:EQUILIBRIUM PHYSIOTHERAPY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:BRENTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:720-951-4421
Mailing Address - Street 1:3035 ELDRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1406
Mailing Address - Country:US
Mailing Address - Phone:720-951-4421
Mailing Address - Fax:
Practice Address - Street 1:9200 W CROSS DR STE 504
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-0761
Practice Address - Country:US
Practice Address - Phone:720-644-9094
Practice Address - Fax:720-764-7198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty