Healthcare Provider Details

I. General information

NPI: 1265049183
Provider Name (Legal Business Name): METROPOLITAN PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 02/16/2021
Certification Date: 02/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 BRIGGS ST
ERIE CO
80516-5022
US

IV. Provider business mailing address

25 CODY ST
LAKEWOOD CO
80226-1240
US

V. Phone/Fax

Practice location:
  • Phone: 303-665-2405
  • Fax: 303-648-6602
Mailing address:
  • Phone: 303-665-2405
  • Fax: 303-648-6602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VINCENT PAUL CARMELLINI
Title or Position: OWNER/THERAPIST
Credential: PT, DPT, OCS, MTC
Phone: 303-665-2405