Provider Demographics
NPI:1508374638
Name:ALL ABILITIES PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:ALL ABILITIES PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:970-980-6851
Mailing Address - Street 1:730 RAMSHORN DR
Mailing Address - Street 2:
Mailing Address - City:ESTES PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80517-7035
Mailing Address - Country:US
Mailing Address - Phone:970-980-6851
Mailing Address - Fax:
Practice Address - Street 1:730 RAMSHORN DR
Practice Address - Street 2:
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-7035
Practice Address - Country:US
Practice Address - Phone:970-980-6851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13320261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy