1225715345 NPI number — TRANSFORMATIVE PAIN CARE AND PHYSICAL THERAPY PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225715345 NPI number — TRANSFORMATIVE PAIN CARE AND PHYSICAL THERAPY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSFORMATIVE PAIN CARE AND PHYSICAL THERAPY PLLC
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:
1225715345
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/25/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
546 APRICOT LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DELTA
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81416-3067
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-639-1948
Provider Business Mailing Address Fax Number:
970-808-2006

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1410 VALLEY VIEW DR STE 309
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DELTA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81416-3130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-639-1948
Provider Business Practice Location Address Fax Number:
970-808-2006
Provider Enumeration Date:
06/30/2023

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNSON
Authorized Official First Name:
KEVIN
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PHYSICAL THERAPIST/CEO
Authorized Official Telephone Number:
970-208-4890

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QP2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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