Provider Demographics
NPI:1750595922
Name:HANDS-ON PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:HANDS-ON PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON-NORBY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT
Authorized Official - Phone:303-857-1111
Mailing Address - Street 1:140 DENVER AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LUPTON
Mailing Address - State:CO
Mailing Address - Zip Code:80621-1818
Mailing Address - Country:US
Mailing Address - Phone:303-857-1111
Mailing Address - Fax:303-857-1198
Practice Address - Street 1:140 DENVER AVE
Practice Address - Street 2:
Practice Address - City:FORT LUPTON
Practice Address - State:CO
Practice Address - Zip Code:80621-1818
Practice Address - Country:US
Practice Address - Phone:303-857-1111
Practice Address - Fax:303-857-1198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6763225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO54858046Medicaid
CO54858046Medicaid
COC493008Medicare UPIN