Provider Demographics
NPI:1467734426
Name:INFINITY PHYSICAL THERAPY AND SPORTS REHABILITATION
Entity Type:Organization
Organization Name:INFINITY PHYSICAL THERAPY AND SPORTS REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:720-635-6969
Mailing Address - Street 1:PO BOX 461254
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-5254
Mailing Address - Country:US
Mailing Address - Phone:720-635-6969
Mailing Address - Fax:
Practice Address - Street 1:999 S CLERMONT ST
Practice Address - Street 2:SUITE 301
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246-2539
Practice Address - Country:US
Practice Address - Phone:720-635-6969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy