MEDICARE: UNIQUE PRINTS PEDIATRIC THERAPY SERVICES INC

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	225XP0200X	Pediatric Occupational Therapist	084604	CO
2	235Z00000X	Speech-Language Pathologist	00021832	CO
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1871649517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUE PRINTS PEDIATRIC THERAPY SERVICES INC

Provider Business Mailing Address
First Line	:	21045 N 9TH PL STE 204
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85024-5635
Country	:	US
Telephone Number	:	602-726-2300
Fax Number	:	602-726-2322

Provider Business Practice Location Address
First Line	:	9830 W 59TH PL
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80004-5013
Country	:	US
Telephone Number	:	303-773-1034
Fax Number	:	303-773-1977

Authorized Official
Title or Position	:	OWNER
Name	:	RYAN R SHERMAN
Credential	:
Telephone Number	:	303-773-1034

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	08/18/2025

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