Healthcare Provider Details

I. General information

NPI: 1912667338
Provider Name (Legal Business Name): SCOTT FRANKLIN GEHRET PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2021
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 INVERNESS DR W
ENGLEWOOD CO
80112-5065
US

IV. Provider business mailing address

59 GLENALLA PL
CASTLE ROCK CO
80108-9026
US

V. Phone/Fax

Practice location:
  • Phone: 303-694-3333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0006135
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberPTL.OOO6135
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: