Provider Demographics
NPI:1922469634
Name:HOPE PHYSICAL THERAPY AND WELLNESS CENTER
Entity Type:Organization
Organization Name:HOPE PHYSICAL THERAPY AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERA
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:HOPE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:719-722-1336
Mailing Address - Street 1:5770 FLINTRIDGE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1881
Mailing Address - Country:US
Mailing Address - Phone:719-722-1336
Mailing Address - Fax:
Practice Address - Street 1:5770 FLINTRIDGE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1881
Practice Address - Country:US
Practice Address - Phone:719-722-1336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO000650225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty