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NPI Code Detail

MEDICARE: PHYSIOTHERAPY ASSOCIATES INC

MEDICARE: PHYSIOTHERAPY ASSOCIATES INC
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
1225000000XOrthotic Fitter
2225700000XMassage Therapist
3225X00000XOccupational Therapist
4225XH1200XHand Occupational Therapist
5261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1164479275
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSIOTHERAPY ASSOCIATES INC
Provider Business Mailing Address
First Line : 6979 S HOLLY CIR
Second Line : STE 105
City : CENTENNIAL
State : CO
Zip : 80112-1577
Country : US
Telephone Number : 303-694-2295
Fax Number : 303-694-1843
Provider Business Practice Location Address
First Line : 54 GARDEN CTR
Second Line : STE A
City : BROOMFIELD
State : CO
Zip : 80020-1730
Country : US
Telephone Number : 303-410-0711
Fax Number : 303-466-0110
Authorized Official
Title or Position : CONTRACTING
Name : ROB ZIGENFUS
Credential :
Telephone Number : 901-685-7227
Provider Enumeration Date : 05/27/2006
Last Update Date : 07/24/2007

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