Provider Demographics
NPI:1831855501
Name:UPSLOPE PHYSICAL THERAPY & PERFORMANCE LLC
Entity type:Organization
Organization Name:UPSLOPE PHYSICAL THERAPY & PERFORMANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRADY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMANN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:314-448-8139
Mailing Address - Street 1:245 N LINCOLN AVE APT 513
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-5823
Mailing Address - Country:US
Mailing Address - Phone:314-448-8143
Mailing Address - Fax:
Practice Address - Street 1:245 N LINCOLN AVE APT 513
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5823
Practice Address - Country:US
Practice Address - Phone:314-448-8143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy