MEDICARE: EARLY STEPS PEDIATRIC THERAPY, P.C.

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	9782	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710424759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EARLY STEPS PEDIATRIC THERAPY, P.C.

Provider Business Mailing Address
First Line	:	1677 TRENTON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-2044
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1677 TRENTON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-2044
Country	:	US
Telephone Number	:	913-526-5263
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	JEAN N TAYLOR
Credential	:	PT, DPT
Telephone Number	:	913-526-5263

Provider Enumeration Date	:	01/29/2017
Last Update Date	:	01/12/2022

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Directions to “EARLY STEPS PEDIATRIC THERAPY, P.C. ” Practice Location

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