Provider Demographics
NPI:1891327201
Name:WESTERN PHYSICAL THERAPY SPECIALISTS, LLC
Entity Type:Organization
Organization Name:WESTERN PHYSICAL THERAPY SPECIALISTS, LLC
Other - Org Name:A. FOX PHYSICAL THERAPY, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:303-587-2973
Mailing Address - Street 1:5094 QUITMAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2639
Mailing Address - Country:US
Mailing Address - Phone:303-587-2973
Mailing Address - Fax:
Practice Address - Street 1:15000 W 6TH AVE STE 106
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5047
Practice Address - Country:US
Practice Address - Phone:720-541-6817
Practice Address - Fax:720-541-6818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty