Provider Demographics
NPI:1164939955
Name:COLORADO PHYSIO THERAPY LLC
Entity Type:Organization
Organization Name:COLORADO PHYSIO THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SLAVA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELITS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-885-4645
Mailing Address - Street 1:13710 E RICE PL STE 100
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1075
Mailing Address - Country:US
Mailing Address - Phone:303-693-2225
Mailing Address - Fax:303-693-7670
Practice Address - Street 1:13710 E RICE PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1074
Practice Address - Country:US
Practice Address - Phone:303-693-2225
Practice Address - Fax:303-693-7670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty