MEDICARE: DR. SAMUEL BUSHONG DPT, PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTL.0021014	CO

General Provider Information

NPI Number	:	1588529309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL BUSHONG DPT, PT

Provider Business Mailing Address
First Line	:	375 E HORSETOOTH RD STE 104
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3155
Country	:	US
Telephone Number	:	480-251-7650
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 E HORSETOOTH RD STE 104
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3155
Country	:	US
Telephone Number	:	970-286-2868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	01/07/2026

Similar Medicare Providers

1871307967 — EVAN HIEW
Practice Location Address:

375 E HORSETOOTH RD STE 4
FORT COLLINS, CO
80525-3155

Practice Phone: 970-286-2868
Practice Fax:

1083729776 — DR. ALLEN D. BRANDON PH.D.
Practice Location Address:

375 E HORSETOOTH RD , BUILDING 2; STE. 111
FORT COLLINS, CO
80525-3155

Practice Phone: 970-223-1293
Practice Fax: 970-225-0861

1992875462 — DR. JANICE DALE ORT PSY.D.
Practice Location Address:

375 E HORSETOOTH RD , BUILDING 2-203
FORT COLLINS, CO
80525-3155

Practice Phone: 970-377-9443
Practice Fax: 970-204-6985

1932272937 — DR. GLADYS LEE YAHNKE PSY.D.
Practice Location Address:

375 E HORSETOOTH RD , BLDG 2 STE 201
FORT COLLINS, CO
80525-3155

Practice Phone: 970-631-3037
Practice Fax: 970-797-1349

1891846465 — CONSTANCE CAPPAS GRIFFITH PH.D.
Practice Location Address:

375 E HORSETOOTH RD , BUILDING 2-203
FORT COLLINS, CO
80525-3155

Practice Phone: 970-204-1126
Practice Fax: 970-204-6985

1629124813 — DR. MICHAEL ALLEN GRIFFITH PH.D.
Practice Location Address:

375 E HORSETOOTH RD , SUITE 2-203
FORT COLLINS, CO
80525-3155

Practice Phone: 970-204-6970
Practice Fax: 970-204-6985

Directions to “ DR. SAMUEL BUSHONG DPT, PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.