# ORTHOPEDIC CENTERS OF COLORADO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHOPEDIC CENTERS OF COLORADO, LLC
- **Other names:** Advanced Orthopedics & Sports Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912620535
- **Legal business name:** ORTHOPEDIC CENTERS OF COLORADO, LLC
- **Authorized official:** KAREN DAVIS (VICE PRESIDENT)
- **Authorized official phone:** (303) 815-4182

## Contact information

- **Practice address:** 1536 COLE BLVD STE 120, LAKEWOOD, CO 80401-3405
- **Practice address phone:** (303) 423-8334
- **Practice address fax:** (303) 456-1856
- **Mailing address:** 8101 E LOWRY BLVD STE 120, DENVER, CO 80230-7195
- **Mailing address phone:** (720) 865-6072
- **Mailing address fax:** (720) 865-6072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/20/2022
- **Last updated:** 09/20/2022