Provider Demographics
NPI:1083745004
Name:HARMONY PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:HARMONY PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:303-440-6028
Mailing Address - Street 1:7105 LA VISTA PL
Mailing Address - Street 2:SUITE 150
Mailing Address - City:NIWOT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-0802
Mailing Address - Country:US
Mailing Address - Phone:303-440-6028
Mailing Address - Fax:
Practice Address - Street 1:7105 LA VISTA PL
Practice Address - Street 2:SUITE 150
Practice Address - City:NIWOT
Practice Address - State:CO
Practice Address - Zip Code:80503-0802
Practice Address - Country:US
Practice Address - Phone:303-440-6028
Practice Address - Fax:303-223-3469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3441261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC808781OtherMEDICARE PTAN