Provider Demographics
NPI:1699391185
Name:NEXT ERA PHYSICAL THERAPY
Entity Type:Organization
Organization Name:NEXT ERA PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE/BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DELYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-644-0181
Mailing Address - Street 1:6851 S HOLLY CIR STE 110
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1050
Mailing Address - Country:US
Mailing Address - Phone:720-644-0181
Mailing Address - Fax:720-381-6868
Practice Address - Street 1:6965 S PRIEST DR STE 5
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-4335
Practice Address - Country:US
Practice Address - Phone:720-644-0181
Practice Address - Fax:720-381-6868
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:814850921
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty