Basic Information
| Provider Information | |||||||||
| NPI: | 1922697275 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | A FOX PHYSICAL THERAPY PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13606 XAVIER LN STE C | ||||||||
| Address2: | |||||||||
| City: | BROOMFIELD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800233604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034049494 | ||||||||
| FaxNumber: | 3034042252 | ||||||||
| Practice Location | |||||||||
| Address1: | 15000 W 6TH AVE STE 106 | ||||||||
| Address2: | |||||||||
| City: | GOLDEN | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804015047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7205416817 | ||||||||
| FaxNumber: | 7205416818 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/12/2021 | ||||||||
| LastUpdateDate: | 01/12/2021 | ||||||||
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| AuthorizedOfficialLastName: | FOX | ||||||||
| AuthorizedOfficialFirstName: | ANNE-MARIE | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3034049494 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT, DPT, COMT | ||||||||
| NPICertificationDate: | 12/30/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.