Provider Demographics
NPI:1275047151
Name:FICK PHYSICAL THERAPY AND SPORTS PERFORMANCE, PLLC
Entity Type:Organization
Organization Name:FICK PHYSICAL THERAPY AND SPORTS PERFORMANCE, PLLC
Other - Org Name:FICK PT & PERFORMANCE
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FICK
Authorized Official - Suffix:
Authorized Official - Credentials:PT, SCD, FAAOMPT
Authorized Official - Phone:720-480-2866
Mailing Address - Street 1:4836 GUERNSEY LOOP
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-7721
Mailing Address - Country:US
Mailing Address - Phone:720-480-2866
Mailing Address - Fax:
Practice Address - Street 1:333 DAD CLARK DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-2444
Practice Address - Country:US
Practice Address - Phone:720-480-2866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty