Healthcare Provider Details

I. General information

NPI: 1982206736
Provider Name (Legal Business Name): BRETT M WOYSHNER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 S PARKER RD STE A116
DENVER CO
80231-2758
US

IV. Provider business mailing address

1402 S PARKER RD STE A116
DENVER CO
80231-2758
US

V. Phone/Fax

Practice location:
  • Phone: 720-389-9276
  • Fax: 720-746-9346
Mailing address:
  • Phone: 720-389-9276
  • Fax: 720-746-9346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number30369
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number21254
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT36389
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP23620
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: