Provider Demographics
NPI:1942394747
Name:COLORADO THERAPUETIC SPECIALISTS
Entity Type:Organization
Organization Name:COLORADO THERAPUETIC SPECIALISTS
Other - Org Name:FYZICAL THERAPY & BALANCE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:RITZMANN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:303-561-0447
Mailing Address - Street 1:PO BOX 350566
Mailing Address - Street 2:
Mailing Address - City:WESMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80035-0566
Mailing Address - Country:US
Mailing Address - Phone:303-561-0447
Mailing Address - Fax:303-561-0448
Practice Address - Street 1:11265 DECATUR ST
Practice Address - Street 2:SUITE 300
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-4793
Practice Address - Country:US
Practice Address - Phone:303-561-0447
Practice Address - Fax:303-561-0448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1859225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC480398OtherMEDICARE ID- UNSPECIFIED