Provider Demographics
NPI:1972785400
Name:THERAPY MASTERS LLC
Entity type:Organization
Organization Name:THERAPY MASTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:ARIENS
Authorized Official - Last Name:MASTERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT MS
Authorized Official - Phone:970-845-9600
Mailing Address - Street 1:PO BOX 7805
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-7805
Mailing Address - Country:US
Mailing Address - Phone:970-845-9600
Mailing Address - Fax:970-845-9603
Practice Address - Street 1:82 E. BEAVER CREEK BLVD.
Practice Address - Street 2:103
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620
Practice Address - Country:US
Practice Address - Phone:970-845-9600
Practice Address - Fax:970-845-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4875225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO801716Medicare PIN