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Contact Information

KIDS ON THE GO LLC
19121 E. CRESTRIDGE CIRCLE
AURORA, CO80015
 Phone: 720-352-0443
 Fax: 720-870-5642
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KIDS ON THE GO LLC

NPI Number 1316913189
LBN Legal business name KIDS ON THE GO LLC
Authorized official ALEXANDRA VAN DAMME - (PT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/23/2006
Last updated 07/01/2010 - About 16 years ago
Identifiers
CO License # 6876
CO Medicaid 11172533
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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