Provider Demographics
NPI:1063625937
Name:NEXT LEVEL PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:NEXT LEVEL PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, OCS
Authorized Official - Phone:303-279-6000
Mailing Address - Street 1:4670 TABLE MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-1602
Mailing Address - Country:US
Mailing Address - Phone:303-279-6000
Mailing Address - Fax:303-279-7799
Practice Address - Street 1:4670 TABLE MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80403-1602
Practice Address - Country:US
Practice Address - Phone:303-279-6000
Practice Address - Fax:303-279-7799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8626225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty