MEDICARE: RICHARD I QUINCY JR. MS, PT, ATC

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	0003770	CO
2	2255A2300X	Athletic Trainer	AT004538	OH
3	2251S0007X	Sports Physical Therapist	PT015049	OH

General Provider Information

NPI Number	:	1891725073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD I QUINCY JR. MS, PT, ATC

Provider Business Mailing Address
First Line	:	757 E 20TH AVE STE 370
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-3295
Country	:	US
Telephone Number	:	305-433-0284
Fax Number	:

Provider Business Practice Location Address
First Line	:	2615 CURTIS ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-2633
Country	:	US
Telephone Number	:	305-433-0284
Fax Number	:

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	12/26/2025

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