MEDICARE: METROPOLITAN PHYSICAL THERAPY

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
1	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265049183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	25 CODY ST
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-1240
Country	:	US
Telephone Number	:	303-665-2405
Fax Number	:	303-648-6602

Provider Business Practice Location Address
First Line	:	685 BRIGGS ST
Second Line	:
City	:	ERIE
State	:	CO
Zip	:	80516-5022
Country	:	US
Telephone Number	:	303-665-2405
Fax Number	:	303-648-6602

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

Provider Enumeration Date	:	09/24/2020
Last Update Date	:	02/16/2021

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Directions to “METROPOLITAN PHYSICAL THERAPY ” Practice Location

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