Healthcare Provider Details

I. General information

NPI: 1326955048
Provider Name (Legal Business Name): GUBELLO MOBILE PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 GARFIELD ST
FORT COLLINS CO
80524-3855
US

IV. Provider business mailing address

425 GARFIELD ST
FORT COLLINS CO
80524-3855
US

V. Phone/Fax

Practice location:
  • Phone: 561-302-8029
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: GRAIG GUBELLO
Title or Position: OWNER/DOCTOR OF PHYSICAL THERAPY
Credential: DPT
Phone: 561-302-8029