Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

North Boulder Physical Therapy Sports Rehabilitation LLC

Organization Physical Therapist · NPI 1124076583

North Boulder Physical Therapy Sports Rehabilitation LLC provides Physical Therapist services in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3000 Center Green Dr 110
Boulder, CO 80301-2364 Not confirmed with CMS for 10 years — call before visiting
Phone: (303) 413-9903
Fax: (303) 413-9907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1413 (CO)
Hand Occupational Therapist Taxonomy 225XH1200X · Licence NOT APPLICABLE (CO)

Record details

NPI number1124076583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Layne — Owner, Managing Member · (303) 601-6666
Other names North Boulder Physical Therapy
NPI enumeratedMay 5, 2006
Last updated in NPPESMarch 1, 2016
Mailing address295 Broken Fence Rd, North Boulder Physical Therapy/Debra Layne, Boulder, CO 80302-9607

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