Provider Demographics
NPI:1396853297
Name:STEINBERGER, WILLIAM J (MSPT, CSCS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:STEINBERGER
Suffix:
Gender:M
Credentials:MSPT, CSCS
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:STEINBERGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSPT, CSCS
Mailing Address - Street 1:3951-B EAST 120TH AVE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233
Mailing Address - Country:US
Mailing Address - Phone:303-920-3710
Mailing Address - Fax:303-920-3712
Practice Address - Street 1:3951-B EAST 120TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233
Practice Address - Country:US
Practice Address - Phone:303-920-3710
Practice Address - Fax:303-920-3712
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5803225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO610539000OtherOWCP WORKERS COMP NUMBER
CO46207333Medicaid
COAC666015OtherBLUE CROSS PROVIDER NUMBE
COAC666015OtherBLUE CROSS PROVIDER NUMBE