Provider Demographics
NPI:1982845525
Name:THERAPIES OF THE ROCKIES LLC.
Entity Type:Organization
Organization Name:THERAPIES OF THE ROCKIES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MSED SLP CCC
Authorized Official - Phone:303-888-4840
Mailing Address - Street 1:2851 S PARKER RD STE 570
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2802
Mailing Address - Country:US
Mailing Address - Phone:303-888-4840
Mailing Address - Fax:303-362-8986
Practice Address - Street 1:2851 S PARKER RD
Practice Address - Street 2:570
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2802
Practice Address - Country:US
Practice Address - Phone:303-888-4840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-11
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X, 225X00000X, 235Z00000X, 251E00000X
CO12102075235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO88527212Medicaid