Provider Demographics
NPI:1255738563
Name:VANTAGE POINT PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:VANTAGE POINT PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:PEREZ-QUINTANAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-989-3939
Mailing Address - Street 1:10135 W KENTUCKY DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3942
Mailing Address - Country:US
Mailing Address - Phone:303-989-3939
Mailing Address - Fax:303-985-4321
Practice Address - Street 1:10135 W KENTUCKY DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3942
Practice Address - Country:US
Practice Address - Phone:303-989-3939
Practice Address - Fax:303-985-4321
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WELL-BEING CONCEPTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0011203225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty