1295072668 NPI number — CASCADE SPORTS INJURY PREVENTION & PHYSICAL THERAPY LLC

Table of content: (NPI 1295072668)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295072668 NPI number — CASCADE SPORTS INJURY PREVENTION & PHYSICAL THERAPY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CASCADE SPORTS INJURY PREVENTION & PHYSICAL THERAPY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295072668
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/18/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5450 WADSWORTH BYP UNIT B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARVADA
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80002-3715
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-484-1232
Provider Business Mailing Address Fax Number:
303-963-5665

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5450 WADSWORTH BYP UNIT B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARVADA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80002-3715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-927-6523
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/05/2013

Additional Information

Authorized Official

Authorized Official Last Name:
DUDLEY
Authorized Official First Name:
JUSTIN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
303-484-1232

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  10871 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com