Provider Demographics
NPI:1417365651
Name:R2W LLC
Entity Type:Organization
Organization Name:R2W LLC
Other - Org Name:ECLIPSE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:RANDALL
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:303-519-4375
Mailing Address - Street 1:8200 PARK MEADOWS DR
Mailing Address - Street 2:#8230
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-2746
Mailing Address - Country:US
Mailing Address - Phone:303-519-4375
Mailing Address - Fax:
Practice Address - Street 1:8200 PARK MEADOWS DR
Practice Address - Street 2:#8230
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2746
Practice Address - Country:US
Practice Address - Phone:303-519-4375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9659261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy