Provider Demographics
NPI:1750963419
Name:UPTOWN PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:UPTOWN PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:BEBENDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-832-3700
Mailing Address - Street 1:2626 E COLFAX AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1412
Mailing Address - Country:US
Mailing Address - Phone:303-832-3700
Mailing Address - Fax:
Practice Address - Street 1:700 17TH ST STE 675
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-3555
Practice Address - Country:US
Practice Address - Phone:720-277-3910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy