OrganizationActive
Executive Physical Therapy, Inc.
NPI 1588834121 · Physical Therapy Clinic/Center · Berthoud, CO
Provider details
- NPI number
- 1588834121
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Caroline Creager, Owner(970) 532-2533
- License
- 3219 (CO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
247 Mountain Avenue
Berthoud, CO 80513
Phone: (970) 532-2533
Fax: (970) 532-5450
Street-level locationGet directions
Mailing address
Po Box 1319
Berthoud, CO 80513-2319
Registry dates
- Enumerated
- 2008-03-11
- Last updated
- 2008-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.