Provider Demographics
NPI:1255116505
Name:HIGHPOINT PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:HIGHPOINT PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HADDOCK
Authorized Official - Suffix:
Authorized Official - Credentials:PT, COMT, ATC
Authorized Official - Phone:719-315-5292
Mailing Address - Street 1:829 N HANCOCK AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2753
Mailing Address - Country:US
Mailing Address - Phone:719-315-5292
Mailing Address - Fax:719-284-4636
Practice Address - Street 1:829 N HANCOCK AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2753
Practice Address - Country:US
Practice Address - Phone:719-315-5292
Practice Address - Fax:719-284-4636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy