Provider Demographics
NPI:1669851275
Name:STEP THERAPY LLC
Entity Type:Organization
Organization Name:STEP THERAPY LLC
Other - Org Name:PEDIATRIC THERAPY INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:J
Authorized Official - Middle Name:MARIAH
Authorized Official - Last Name:RUNKLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS OTR/L
Authorized Official - Phone:720-439-9100
Mailing Address - Street 1:6535 S DAYTON ST STE 1050
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6134
Mailing Address - Country:US
Mailing Address - Phone:720-439-9100
Mailing Address - Fax:855-283-4752
Practice Address - Street 1:6535 SOUTH DAYTON STREET
Practice Address - Street 2:STE 3800
Practice Address - City:GREENWOODVILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111
Practice Address - Country:US
Practice Address - Phone:393-649-9007
Practice Address - Fax:303-649-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-28
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0003573261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center