Provider Demographics
NPI:1003965351
Name:PHYSICAL THERAPY PLUS INC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:VAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:303-807-7797
Mailing Address - Street 1:PO BOX 765
Mailing Address - Street 2:
Mailing Address - City:ARUADA
Mailing Address - State:CO
Mailing Address - Zip Code:80001
Mailing Address - Country:US
Mailing Address - Phone:303-807-7797
Mailing Address - Fax:303-422-8728
Practice Address - Street 1:9950 W 80TH AVENUE
Practice Address - Street 2:11
Practice Address - City:ARUADA
Practice Address - State:CO
Practice Address - Zip Code:80005
Practice Address - Country:US
Practice Address - Phone:303-807-7797
Practice Address - Fax:303-422-8728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO544118Medicare ID - Type Unspecified