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NPI Code Detail

MEDICARE: ROBERT PENHOLLOW DPT

MEDICARE:   ROBERT  PENHOLLOW  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPTL.0020992CO

General Provider Information

NPI Number : 1053274936
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT PENHOLLOW DPT
Provider Business Mailing Address
First Line : 814 S PERRY ST STE D
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-1942
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 814 S PERRY ST STE D
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-1942
Country : US
Telephone Number : 303-814-2865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ ROBERT PENHOLLOW DPT” Practice Location

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