Provider Demographics
NPI:1023222429
Name:REINHART, PETER MATTHEW (PT)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:MATTHEW
Last Name:REINHART
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 HOWLING CR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:CO
Mailing Address - Zip Code:80107
Mailing Address - Country:US
Mailing Address - Phone:303-726-3133
Mailing Address - Fax:
Practice Address - Street 1:651 POTOMAC ST
Practice Address - Street 2:# A
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011
Practice Address - Country:US
Practice Address - Phone:303-365-0087
Practice Address - Fax:303-365-0772
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4407225100000X
CO066597225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
066597Medicare ID - Type Unspecified