Centura Physical Therapy At Broadmoor

LBN: Centura Ventures, Llc
Centura Physical Therapy At Broadmoor is an health care organization with primary practice located at 1263 Lake Plaza Dr Ste 210B , Colorado Springs CO 80906-3564. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Centura Ventures, Llc can be contacted via phone (719) 776-3350, or through Carpenter, Debra via phone (303) 765-6998.

Contact Information

Primary practice address
1263 Lake Plaza Dr Ste 210B Colorado Springs CO 80906-3564
Phone: (719) 776-3350
Fax: (719) 776-3374
Website:
Map and Directions
Authorized official contact:
Name: Carpenter, Debra Registered Nurse (RN)
Phone: (303) 765-6998

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1629600754
LBN Legal business name Centura Ventures, Llc
DBA Doing business as Centura Physical Therapy At Broadmoor
Authorized official Carpenter, Debra Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2020
Last updated Dec 21st, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629600754 NPPES
Other 1073882197 OLD NPI
MEDICAID 9000146144 OLD NPI

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