Provider Demographics
NPI:1952887051
Name:PRIZE PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:PRIZE PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:612-440-6016
Mailing Address - Street 1:8145 BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:CO
Mailing Address - Zip Code:81069-8809
Mailing Address - Country:US
Mailing Address - Phone:612-440-6016
Mailing Address - Fax:
Practice Address - Street 1:8145 BIRCH DR
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:CO
Practice Address - Zip Code:81069-8809
Practice Address - Country:US
Practice Address - Phone:612-440-6016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-12
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Single Specialty