Provider Demographics
NPI:1346333416
Name:BABY STEPS PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:BABY STEPS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERICH
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:720-530-0762
Mailing Address - Street 1:673 W MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9414
Mailing Address - Country:US
Mailing Address - Phone:720-530-0762
Mailing Address - Fax:
Practice Address - Street 1:673 W MULBERRY ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9414
Practice Address - Country:US
Practice Address - Phone:720-530-0762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6641225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO00871834Medicaid