1922260041 NPI number — PEDIATRIC THERAPY SPECIALISTS

Table of content: ROBERT HOYT YOE IV MD (NPI 1326206632)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922260041 NPI number — PEDIATRIC THERAPY SPECIALISTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PEDIATRIC THERAPY SPECIALISTS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922260041
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
302 CRESTWOOD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODLAND PARK
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80863-8391
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
719-687-8727
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
302 CRESTWOOD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODLAND PARK
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80863-8391
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-687-8727
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/30/2008

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
JULIE
Authorized Official Middle Name:
Authorized Official Title or Position:
SPEECH- LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
719-687-8727

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  01064037 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 55670032 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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