Provider Demographics
NPI:1336228238
Name:ASSOCIATES IN PHYSICAL THERAPY OF FORT COLLINS, INC.
Entity Type:Organization
Organization Name:ASSOCIATES IN PHYSICAL THERAPY OF FORT COLLINS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:MAUREEN
Authorized Official - Last Name:LAMB BEST
Authorized Official - Suffix:
Authorized Official - Credentials:PT, OTR, CHT
Authorized Official - Phone:970-221-2942
Mailing Address - Street 1:1136 E STUART ST BLDG 2
Mailing Address - Street 2:SUITE 2140
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5315
Mailing Address - Country:US
Mailing Address - Phone:970-221-2942
Mailing Address - Fax:
Practice Address - Street 1:1136 E STUART ST BLDG 2
Practice Address - Street 2:SUITE 2140
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5315
Practice Address - Country:US
Practice Address - Phone:970-221-2942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2882225100000X
CO1475225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO4271710001Medicare NSC
COCR1203Medicare PIN