Organization
DENVER PHYSICAL THERAPY, P.C.
Active
Other names
Pro Active Physical Therapy Eaton, Synergy Sports and Rehab LLC, Pro Active Physical Therapy Highlands Ranch, Pro Active Physical Therapy Centennial
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA EDEN JACOB (OWNER)
(303) 628-0871
Entity
Organization
Contact information
Practice address
6840 S UNIVERSITY BLVD STE 400, CENTENNIAL, CO 80122-1510
(303) 771-5120
(303) 694-4270
Mailing address
2600 DALLAS PKWY STE 290, FRISCO, TX 75034-7493
(945) 260-0010
(760) 268-1849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN0503
ANTHEM BLUE CROSS/SHIELD
CO
Enumeration date
05/03/2006
Last updated
02/04/2026
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