Provider Demographics
NPI:1639358823
Name:UPTOWN PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:UPTOWN PHYSICAL THERAPY INC
Other - Org Name:ATLAS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST AND OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:BEBENDORF
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:303-832-3700
Mailing Address - Street 1:2626 E COLFAX AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1412
Mailing Address - Country:US
Mailing Address - Phone:303-832-7000
Mailing Address - Fax:303-832-3712
Practice Address - Street 1:2626 E COLFAX AVE STE 201
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1412
Practice Address - Country:US
Practice Address - Phone:303-832-7000
Practice Address - Fax:303-832-3712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
CO8790261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty