Provider Demographics
NPI:1801048913
Name:PHYSICAL THERAPY CONSULTANTS INC.
Entity type:Organization
Organization Name:PHYSICAL THERAPY CONSULTANTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:PURDOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-807-3974
Mailing Address - Street 1:8245 E 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2513
Mailing Address - Country:US
Mailing Address - Phone:303-807-3974
Mailing Address - Fax:
Practice Address - Street 1:8245 E 28TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2513
Practice Address - Country:US
Practice Address - Phone:303-807-3974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4405225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty