Provider Demographics
NPI:1114166477
Name:COLORADO PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:COLORADO PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRZEJ
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:303-503-5839
Mailing Address - Street 1:3332 CRANSTON CIR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-3616
Mailing Address - Country:US
Mailing Address - Phone:303-503-5012
Mailing Address - Fax:303-223-2823
Practice Address - Street 1:9300 WEST CROSS DRIVE SUITE 329
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-1535
Practice Address - Country:US
Practice Address - Phone:303-503-5839
Practice Address - Fax:303-223-2823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2023-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9583261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy