Provider Demographics
NPI:1114347226
Name:GOIN BEYOND PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:GOIN BEYOND PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:GOIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:720-306-8280
Mailing Address - Street 1:4360 FOXBERRY DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-4520
Mailing Address - Country:US
Mailing Address - Phone:720-306-8280
Mailing Address - Fax:720-306-8281
Practice Address - Street 1:26 W DRY CREEK CIR STE 640
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4475
Practice Address - Country:US
Practice Address - Phone:720-306-8280
Practice Address - Fax:720-306-8281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL00004806225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty