Provider Demographics
NPI:1710985924
Name:ALL PRO PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:ALL PRO PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:303-757-2455
Mailing Address - Street 1:1776 S JACKSON ST
Mailing Address - Street 2:701
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3801
Mailing Address - Country:US
Mailing Address - Phone:303-757-2455
Mailing Address - Fax:303-757-2453
Practice Address - Street 1:1776 S JACKSON ST
Practice Address - Street 2:701
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3801
Practice Address - Country:US
Practice Address - Phone:303-757-2455
Practice Address - Fax:303-757-2453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2486261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC25993Medicare PIN