CENTURA VENTURES, LLC (NPI# 1629600754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629600754 |
| Entity Type | Organization |
| Organization Name | CENTURA VENTURES, LLC |
| Other Organization Name | CENTURA PHYSICAL THERAPY AT BROADMOOR |
| Practice Address |
1263 Lake Plaza Dr Ste 210b Colorado Springs CO 80906-3564 |
| Mailing Address |
Po Box 801172 Kansas City MO 64180-1172 |
| Practice Telephone | 7197763350 |
| Practice Fax Number | 7197763374 |
| Mailing Telephone | 8009530104 |
| Mailing Fax Number | 3037656670 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | MS. DEBRA CARPENTER (VP, AMBULATORY SERVICES) |
| Authorized Official Telephone | 3037656998 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000146144 | 05 | |
| OLD NPI | 1073882197 | 01 |
| Other Name | Type Code |
|---|---|
| Centura Physical Therapy at Broadmoor | Doing Business As Name - Organization |
| Centura Physical Therapy at Broadmoor | Other Name - Individual/Organization |
| XCS PT BROADMOOR | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357236 | Centura Ventures, LLC | Clinic/Center | 17230 Jackson Creek Pkwy Ste 170, Monument, CO 80132-7303 | 2020-02-06 |
| 1437254612 | Centura Ventures, LLC | Home Health | 18 School Rd, Ste 225, Frisco, CO 80443 | 2006-09-13 |
| 1174634349 | Centura Ventures, LLC | Home Health | 6901 S Havana St, Centennial, CO 80112-3805 | 2006-08-31 |
| 1528690195 | Centura Ventures, LLC | Clinic/Center | 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 | 2020-02-11 |
| 1326670464 | Centura Ventures, LLC | Clinic/Center | 11960 Lioness Way Ste 150, Parker, CO 80134-5640 | 2020-02-06 |
| 1932731072 | Centura Ventures, LLC | Clinic/Center | 3010 N Circle Dr Ste 120, Colorado Springs, CO 80909-1182 | 2020-02-06 |
| 1891327920 | Centura Ventures, LLC | Clinic/Center | 41 State Highway 67, Woodland Park, CO 80863-5008 | 2020-02-06 |
| 1710519848 | Centura Ventures, LLC | Clinic/Center | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-02-06 |
| 1730711862 | Centura Ventures, LLC | Clinic/Center | 4112 Outlook Blvd Ste 96, Pueblo, CO 81008-1667 | 2020-02-06 |
| 1902275936 | Centura Ventures, LLC | Physical Medicine & Rehabilitation | 7233 Church Ranch Blvd, Juniper Pod, Westminster, CO 80021-4094 | 2015-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CENTURA VENTURES, LLC | 9100 E. Mineral Circle, Centennial, CO 80112 |
| Street Address |
1263 LAKE PLAZA DR STE 210B |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1699389288 | New Morning Physical Therapy, LLC | Clinic/Center | 6440 Tacoma Ct, Colorado Springs, CO 80915-4318 | 2020-09-01 |
| 1255964813 | Dany's Physical Therapy Pllc | Clinic/Center | 7011 Campus Dr Ste 110, Colorado Springs, CO 80920-3175 | 2020-02-21 |
| 1205474657 | Anthem Physical Therapy LLC | Clinic/Center | 13929 Sierra Knolls Ct, Colorado Springs, CO 80921-2977 | 2019-12-17 |
| 1891354726 | Uch-mhs | Clinic/Center | 4150 E Woodmen Rd, Ste 200, Colorado Springs, CO 80920-8000 | 2019-06-13 |
| 1689233819 | Uch-mhs | Clinic/Center | 2999 New Center Point, Colorado Springs, CO 80922-2806 | 2019-06-11 |
| 1295394864 | J Medical Inc | Clinic/Center | 2233 Academy Pl Ste 101, Colorado Springs, CO 80909-1679 | 2019-06-07 |
| 1083173850 | Mobility Therapy and Fitness | Clinic/Center | 6959 Ketchum Dr, Colorado Springs, CO 80911-9406 | 2019-03-19 |
| 1467966432 | Therapy Works | Clinic/Center | 1834 Grant Ave, Colorado Springs, CO 80909-2417 | 2017-11-28 |
| 1518481852 | Creed Family Physical Therapy Center | Clinic/Center | 13570 Northgate Estates Dr Ste 100, Colorado Springs, CO 80921-7655 | 2017-07-28 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
Please comment or provide details below to improve the information on CENTURA VENTURES, LLC.
| 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.