Roots Physical Therapy And Wellness LLC
Physical Medicine & Rehabilitation, Neuromuscular Medicine in Louisville, CO. Organization (NPI-2).
NPI number1154064236
StatusActive
Last updated in NPPESApr 20, 2022
Details
- NPI
- 1154064236
- Entity type
- Organization (NPI-2)
- Legal business name
- Roots Physical Therapy And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2022
- Certification date
- Apr 20, 2022
- Last updated
- Apr 20, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRI
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081N0008X | Physical Medicine & Rehabilitation, Neuromuscular Medicine | – | – | Yes |
Other names
- Roots Physical Therapy And Wellness (Other Name)
Practice location
168 Ctc Blvd Unit DLouisville, CO 80027-3093
Phone 720-704-7401
Mailing address
2297 Dogwood DrErie, CO 80516-7988
Phone 720-704-7401
Authorized official
Mary A Finck
Owner/Physical Therapist
7207047401
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