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General NPI Number Information
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NPI Number | 1487596029
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Entity Type | Organization
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Legal Business Name | MOUNTAIN TIME PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 4491 BENT BROTHERS BLVD SUITE B
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City | COLORADO CITY
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State | CO
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Zip | 81019
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Country | US
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Telephone | 719-988-2839
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Fax | 719-425-3417
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Provider Business Mailing Address
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Address Line | PO BOX 548
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City | LA VETA
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State | CO
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Zip | 81055-0548
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Country | US
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Telephone | 718-988-2839
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Fax | 719-425-3417
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW C SLIFKO
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Credential | PT, DPT
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Telephone | 412-760-0535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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