PRO-MOTION PHYSICAL THERAPY & PILATES, PLLC (NPI# 1215263090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215263090 |
| Entity Type | Organization |
| Organization Name | PRO-MOTION PHYSICAL THERAPY & PILATES, PLLC |
| Practice Address |
413 Summit Blvd Unit 101 Broomfield CO 80021-8295 |
| Mailing Address |
10650 Yates Drive Westminster CO 80031 |
| Practice Telephone | 3039124959 |
| Mailing Telephone | 3039124959 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |
| Authorized Official Name | BREANA L KOFFLER (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3039124959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 7869 | CO | Other Service Providers |
| Street Address |
413 SUMMIT BLVD UNIT 101 |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80021-8295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871604983 | Melissa Lynn Groelz | Chiropractor | 413 Summit Blvd Unit 101, Broomfield, CO 80021-8295 | 2006-08-31 |
| 1568086569 | Colorado Medical Supply | Durable Medical Equipment & Medical Supplies | 413 Summit Blvd Unit 101, Broomfield, CO 80021-8295 | 2020-06-04 |
| 1679787832 | Bodies In Motion Chiropractic | Chiropractor | 413 Summit Blvd Unit 101, Broomfield, CO 80021-8295 | 2007-05-09 |
| 1912124397 | Ryan David Groelz | Chiropractor | 413 Summit Blvd Unit 101, Broomfield, CO 80021-8295 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941934 | Denver Restorative Dentistry Pllc | Dentist | 8181 Arista Place, Suite 140, Broomfield, CO 80021 | 2019-09-19 |
| 1205490398 | Amber Kay Kisser | Occupational Therapist | 7770 W 101st Ave, Westminster, CO 80021 | 2019-04-24 |
| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124554407 | Courtney Lindsay | Specialist | 2095 W 6th Ave Ste 103, Broomfield, CO 80020-1870 | 2017-05-05 |
| 1447661640 | Ashlee Merkel | Specialist | 4313 Rabbit Mountain Rd, Broomfield, CO 80020-5585 | 2014-05-11 |
| 1356633382 | 3s Intraoperative Monitoring | Specialist | 4381 Crestone Cir, Broomfield, CO 80023-3901 | 2011-05-10 |
| 1346491487 | Matthew Christopher Gibble | Specialist | 1347 Mcintosh Ave, Broomfield, CO 80020-2482 | 2008-10-07 |
| 1497952899 | Paul Bao Lam | Specialist | 6600 W 120th Ave Unit A, Broomfield, CO 80020-6937 | 2007-06-28 |
| 1366569212 | Suzette Skidmore | Specialist | 5001 Spyglass Dr, Broomfield, CO 80023-4036 | 2007-03-24 |
| 1790809796 | Mary Margaret Serkowski | Specialist | 14140 Fairway Ln, Broomfield, CO 80020-9564 | 2007-03-17 |
| 1114998788 | Colorado Physical Therapy Institute, P.C. | Specialist | 300 Nickel St, Ste 6, Broomfield, CO 80020-2097 | 2006-01-31 |
| 1285171090 | Kerry Mikolaj | Specialist | 8401 Arista Pl, Broomfield, CO 80021-4154 | 2017-01-31 |
| 1306383039 | Boulder County Primary Care and Rehab | Specialist | 413 Summit Blvd, #101, Broomfield, CO 80021-8294 | 2017-01-19 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80021 |
Please comment or provide details below to improve the information on PRO-MOTION PHYSICAL THERAPY & PILATES, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.