Provider Demographics
NPI:1477175404
Name:ADEO COLORADO
Entity Type:Organization
Organization Name:ADEO COLORADO
Other - Org Name:ADEO PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-339-2444
Mailing Address - Street 1:2780 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-7803
Mailing Address - Country:US
Mailing Address - Phone:970-339-0011
Mailing Address - Fax:
Practice Address - Street 1:2780 28TH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-7803
Practice Address - Country:US
Practice Address - Phone:970-339-0011
Practice Address - Fax:970-339-0068
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADEO COLORADO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-13
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy