MEDICARE: TOP SHELF PHYSICAL THERAPY LLC

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	2251S0007X	Sports Physical Therapist
2	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1831079276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP SHELF PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	6072 E HINSDALE AVE
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-1547
Country	:	US
Telephone Number	:	805-252-9081
Fax Number	:

Provider Business Practice Location Address
First Line	:	6851 S HOLLY CIR STE 110
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-1050
Country	:	US
Telephone Number	:	805-252-9081
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LUKE HARTNETT HARMON
Credential	:	PT, DPT
Telephone Number	:	805-252-9081

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	01/12/2026

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