Centura Physical Therapy At Pueblo
LBN: Centura Ventures, Llc
Centura Physical Therapy At Pueblo is an health care organization with primary practice located at 4112 Outlook Blvd Ste 96 , Pueblo CO 81008-1667. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty.
Centura Ventures, Llc can be contacted via phone (719) 562-6200, or through Carpenter, Debra via phone (303) 765-6998.
Contact Information
Primary practice address
4112 Outlook Blvd Ste 96
Pueblo CO 81008-1667
Phone: (719) 562-6200
Fax: (719) 562-6225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | ||
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1730711862 |
|---|---|
| LBN Legal business name | Centura Ventures, Llc |
| DBA Doing business as | Centura Physical Therapy At Pueblo |
| Authorized official | Carpenter, Debra Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2020 |
| Last updated | Oct 17th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730711862 | NPPES |
| Other | 1073882197 | OLD NPI | |
| MEDICAID | 9000133413 | OLD NPI |
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