PRO SPORTS THERAPY, LLC (NPI# 1649797747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649797747 |
| Entity Type | Organization |
| Organization Name | PRO SPORTS THERAPY, LLC |
| Practice Address |
6598 Buttercup Dr Unit 1 Wellington CO 80549 |
| Mailing Address |
4502 Greenfield Ct Cheyenne WY 82001-2315 |
| Practice Telephone | 9706992260 |
| Mailing Telephone | 3077575310 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2018-12-19 |
| Authorized Official Name | JOSHUA JAMES FOUNTAIN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3077575310 |
| Authorized Official Credential | PTA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Pro Sports Therapy, LLC | 6598 Buttercup Drive, Unit 1, Wellington, CO 80549 |
| Street Address |
6598 BUTTERCUP DR UNIT 1 |
| City | WELLINGTON |
| State | CO |
| Zip Code | 80549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538376975 | Tammy K Iglehart | Physical Therapist | 6598 Buttercup Dr Unit 1, Wellington, CO 80549-2289 | 2007-05-16 |
| 1003122615 | Joshua J Fountain | Physical Therapy Assistant | 6598 Buttercup Dr Unit 1, Wellington, CO 80549 | 2010-08-20 |
| 1609028844 | Kenneth G. Abbott | Physical Therapist | 6598 Buttercup Dr Unit 1, Wellington, CO 80549-2289 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992707 | Rebecca Sue Palmer | Pharmacist | 7955 6th St, Wellington, CO 80549 | 2020-08-13 |
| 1942827654 | Jarrett Romine | Dentist | 7859 6th St Ste 150, Wellington, CO 80549 | 2020-06-29 |
| 1194342030 | Carly Marie Hinton | Speech-Language Pathologist | 4126 Hayes Ave, Wellington, CO 80549 | 2020-06-26 |
| 1982252615 | Sherry Teppo | Technician | 16086 Linton Lane, Wellington, CO 80549 | 2019-08-27 |
| 1669986865 | Elaine Woo | Pharmacist | 7955 6th Street, Wellington, CO 80549 | 2017-11-27 |
| 1659882272 | Banner Health Physicians Colorado LLC | Clinic/Center | 7859 6th Street, Wellington, CO 80549 | 2017-10-23 |
| 1457755084 | Marianne Clegg | Licensed Practical Nurse | 7704 Fourth, Wellington, CO 80549 | 2014-10-10 |
| 1558677567 | Mary E. Cahill | Veterinarian | 3736 Garfield Avenue, Wellington, CO 80549 | 2010-08-27 |
| 1366618886 | Dkm, Inc. | Assisted Living Facility | 8126 5th Street, Wellington, CO 80549 | 2008-05-05 |
| 1821141615 | Steven Gonzalez | Social Worker | 3725 Cleveland Avenue, Offices G&h, Wellington, CO 80549 | 2007-01-18 |
| Find all providers in zip 80549 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548411788 | Jasper Physical Therapy and Rehab Center LLC | Clinic/Center | 1037 State Road #7, Suite #302, Wellington, FL 33414 | 2008-10-07 |
| 1124070354 | Progressive Therapy Solutions Inc | Clinic/Center | 636 Rambling Drive Cir, Wellington, FL 33414-5036 | 2006-05-16 |
| 1972505576 | P.t. Services Rehabilitation, Inc. | Clinic/Center | 805 Patriot Drive, Suite H, Wellington, OH 44090-8951 | 2005-08-12 |
| 1811434699 | Pilozzi Physical Therapy LLC | Clinic/Center | 12300 S Shore Blvd, Ste 102, Wellington, FL 33414-6509 | 2017-01-31 |
| 1053770495 | Doctors Physiotherapy Inc | Clinic/Center | 2098 Henley Pl, Wellington, FL 33414-7757 | 2016-02-13 |
| 1407003106 | National Therapeutic Systems Inc | Clinic/Center | 2098 Henley Pl, Wellington, FL 33414-7757 | 2008-08-25 |
| 1588753388 | Gold Coast Physical Therapy Associates LLC | Clinic/Center | 11120 S Crown Way, Suite 8, Wellington, FL 33414 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629811 | Alpenstrong Physical Therapy LLC | Clinic/Center | 166 S Saint Vrain Ave, Estes Park, CO 80517-6355 | 2020-11-08 |
| 1467052258 | Panorama Orthopedics and Spine Center PC | Clinic/Center | 1402 S Parker Rd Ste A116, Denver, CO 80231-2758 | 2020-10-29 |
| 1942808548 | Panorama Orthopedics and Spine Center PC | Clinic/Center | 2706 28th St, Boulder, CO 80301-1222 | 2020-10-15 |
| 1477150597 | Anchor Physical Therapy & Wellness, Pllc | Clinic/Center | 1020 Nancy St, Fort Morgan, CO 80701-3726 | 2020-10-01 |
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1356957757 | Monument Physical Therapy LLC | Clinic/Center | 406 Chipeta Ave, Grand Junction, CO 81501-2532 | 2020-09-21 |
| 1699389288 | New Morning Physical Therapy, LLC | Clinic/Center | 6440 Tacoma Ct, Colorado Springs, CO 80915-4318 | 2020-09-01 |
| 1306455845 | Ascension Physical Therapy, Fitness and Wellness LLC | Clinic/Center | 600 S Cherry St Ste 230, Denver, CO 80246-1714 | 2020-07-30 |
| 1154930345 | Unbound Physical Therapy LLC | Clinic/Center | 3621 S Kalispell St, Aurora, CO 80013-2435 | 2020-07-23 |
| 1629686894 | Panorama Orthopedics & Spine Center, PC | Clinic/Center | 5540 Main Street, Suite #200, Westminster, CO 80031 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 80549 |
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| 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.