BODYWISE PHYSICAL THERAPY PROFESSIONAL LLC (NPI# 1881836716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881836716 |
| Entity Type | Organization |
| Organization Name | BODYWISE PHYSICAL THERAPY PROFESSIONAL LLC |
| Practice Address |
4440 Arapahoe Ave Ste 101 Boulder CO 80303 |
| Mailing Address |
4440 Arapahoe Ave Ste 101 Boulder CO 80303-9101 |
| Practice Telephone | 3034442529 |
| Practice Fax Number | 3034442563 |
| Mailing Telephone | 3034442529 |
| Mailing Fax Number | 3034442563 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | JULIE PETERSEN-HANSON (OWNER) |
| Authorized Official Telephone | 3034442529 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10055 Westmoor Dr Ste 210, Westminster, CO 800212574 | 3034442529 | 3034442563 |
| 10155 Westmoor Dr Ste 185, Westminster, CO 800212601 | 3034442529 | 3034442563 |
| 3305 W 144th Ave Unit 104, Broomfield, CO 800239483 | 3034442529 | 3034442563 |
| Street Address |
4440 ARAPAHOE AVE STE 101 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588992903 | Julie Petersen-hanson | Physical Therapist | 4440 Arapahoe Ave Ste 101, Boulder, CO 80303-9101 | 2009-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598142663 | Mend Pllc | Physical Therapist | 2760 29th St Ste 1b, Boulder, CO 80301-1221 | 2015-04-28 |
| 1104216043 | Chris Degrandis | Physical Therapist | 777 29th St Ste 401, Boulder, CO 80303-2316 | 2015-01-30 |
| 1386046027 | James Heafner | Physical Therapist | 3120 Pearl Pkwy Apt 307, Boulder, CO 80301-2495 | 2014-09-25 |
| 1043623705 | Marin Lee Campbell | Physical Therapist | 7433 Singing Hills Dr, Boulder, CO 80301-3769 | 2014-06-10 |
| 1215069505 | Andrea Kesslen Barsch | Physical Therapist | University of Colorado Boulder Wardenburg Health Ctr, Ucb 119, Boulder, CO 80309-0119 | 2007-03-12 |
| 1659469369 | Sharon L Switzer | Physical Therapist | 5277 Manhattan Cir, Suite #103, Boulder, CO 80303-8201 | 2006-10-10 |
| 1184251662 | Chad Edward Kittles | Physical Therapist | 5495 Arapahoe Ave, Boulder, CO 80303-1200 | 2020-03-25 |
| 1659789121 | Chelsea Sturgeon | Physical Therapist | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2014-07-29 |
| 1346652914 | Elizabeth Mckinley | Physical Therapist | 5350 Manhattan Cir, Suite 100, Boulder, CO 80303-4291 | 2014-05-29 |
| 1174818132 | Dade Schesler Smith | Physical Therapist | 5387 Manhattan Cir Ste 100a, Boulder, CO 80303-4283 | 2011-06-17 |
| Find all providers in BOULDER | ||||
Please comment or provide details below to improve the information on BODYWISE PHYSICAL THERAPY PROFESSIONAL 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.