Provider Demographics
NPI:1558863662
Name:DENVER PHYSICAL THERAPY AT HOME
Entity Type:Organization
Organization Name:DENVER PHYSICAL THERAPY AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODRIGO
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-473-9791
Mailing Address - Street 1:1573 S CATAWBA CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-6012
Mailing Address - Country:US
Mailing Address - Phone:720-473-9791
Mailing Address - Fax:720-500-5652
Practice Address - Street 1:1573 S CATAWBA CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-6012
Practice Address - Country:US
Practice Address - Phone:720-473-9791
Practice Address - Fax:720-500-5652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty