Organization
ADVANCED PHYSICAL & SPORTS THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS HECKENKAMP MPT (OWNER)
(720) 733-3655
Entity
Organization
Contact information
Practice address
880 HAPPY CANYON RD STE 145, CASTLE ROCK, CO 80108-3915
(720) 733-3655
(720) 733-3656
Mailing address
880 HAPPY CANYON RD STE 145, CASTLE ROCK, CO 80108-3915
(720) 733-3655
(720) 733-3656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6646
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6646
STATE LICENSE
CO
01
—
AD659056
BLUE CROSS BLUE SHIELD
CO
Enumeration date
04/04/2007
Last updated
09/11/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up