Provider Demographics
NPI:1164519328
Name:ADAMS & GIDDINGS PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:ADAMS & GIDDINGS PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-416-8342
Mailing Address - Street 1:702 W DRAKE RD BLDG E STE A
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5557
Mailing Address - Country:US
Mailing Address - Phone:970-416-8342
Mailing Address - Fax:970-416-8344
Practice Address - Street 1:702 W DRAKE RD BLDG E STE A
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5557
Practice Address - Country:US
Practice Address - Phone:970-416-8342
Practice Address - Fax:970-416-8344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CR5603Medicare ID - Type Unspecified