Provider Demographics
NPI:1992871859
Name:CLINICAL BIOMECHANICS OF POSTURE (CBP) OF COLORADO A LLC
Entity type:Organization
Organization Name:CLINICAL BIOMECHANICS OF POSTURE (CBP) OF COLORADO A LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-686-9117
Mailing Address - Street 1:1180 MAIN ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-4709
Mailing Address - Country:US
Mailing Address - Phone:970-686-9117
Mailing Address - Fax:970-686-5441
Practice Address - Street 1:1180 MAIN ST
Practice Address - Street 2:SUITE 7
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-4709
Practice Address - Country:US
Practice Address - Phone:970-686-9117
Practice Address - Fax:970-686-5441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO5451111NR0400X
COCO5441111NR0400X
COCHR6717111NR0400X
COCHR0006759111NR0400X
CODR0027625207LP2900X
COCO1656225100000X
CO11107225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU96811Medicare UPIN
COC510248Medicare PIN
COCOA107291Medicare PIN
COCOAAA1139Medicare PIN
COC510238Medicare PIN
COC512928Medicare PIN
COC807015Medicare PIN