Provider Demographics
NPI:1851805634
Name:BUILDING BLOCKS PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:BUILDING BLOCKS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, PCS
Authorized Official - Phone:970-412-0269
Mailing Address - Street 1:16563 DYER WAY
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-4665
Mailing Address - Country:US
Mailing Address - Phone:970-412-0269
Mailing Address - Fax:
Practice Address - Street 1:16563 DYER WAY
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-4665
Practice Address - Country:US
Practice Address - Phone:970-412-0269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-01
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy