Provider Demographics
NPI:1427376763
Name:VERTICAL MOTION PHYSICAL THERAPY
Entity Type:Organization
Organization Name:VERTICAL MOTION PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC OWNER, PT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MPT, MTC, ATC
Authorized Official - Phone:303-325-5329
Mailing Address - Street 1:3045 WHITMAN DR
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-2210
Mailing Address - Country:US
Mailing Address - Phone:303-325-5329
Mailing Address - Fax:303-670-3323
Practice Address - Street 1:3045 WHITMAN DR
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-2210
Practice Address - Country:US
Practice Address - Phone:303-325-5329
Practice Address - Fax:303-670-3323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20101192876261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy