MEDICARE: DELTA PHYSICAL THERAPY AND SPORTS REHABILITATION PC

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	225100000X	Physical Therapist	3276	CO

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	:	1326174483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELTA PHYSICAL THERAPY AND SPORTS REHABILITATION PC

Provider Business Mailing Address
First Line	:	185 STAFFORD LN
Second Line	:	PO BOX 827
City	:	DELTA
State	:	CO
Zip	:	81416-2229
Country	:	US
Telephone Number	:	970-874-5747
Fax Number	:

Provider Business Practice Location Address
First Line	:	185 STAFFORD LN
Second Line	:
City	:	DELTA
State	:	CO
Zip	:	81416-2229
Country	:	US
Telephone Number	:	970-874-5747
Fax Number	:

Authorized Official
Title or Position	:	OWNER CEO
Name	:	MR. JIM ROBERTSON JR.
Credential	:	P.T.
Telephone Number	:	970-874-5747

Provider Enumeration Date	:	02/25/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1932183316 — DEBRA K. BAILEY FNP
Practice Location Address:

195 STAFFORD LN
DELTA, CO
81416-2229

Practice Phone: 970-874-6823
Practice Fax: 970-874-6903

1790753598 — ALANA G MONTGOMERY FNP
Practice Location Address:

155 STAFFORD LN
DELTA, CO
81416-2229

Practice Phone: 970-874-7696
Practice Fax: 970-874-6325

1730117573 — BRITTANY MATSUMURA MD
Practice Location Address:

205 STAFFORD LN
DELTA, CO
81416-2229

Practice Phone: 970-874-2476
Practice Fax: 970-874-2849

1427139393 — HEIDI NIKOLE MARLIN M.D.
Practice Location Address:

195 STAFFORD LN
DELTA, CO
81416-2229

Practice Phone: 970-874-6823
Practice Fax: 970-874-6903

1457552101 — JIM J ROBERTSON P.T.
Practice Location Address:

185 STAFFORD LN
DELTA, CO
81416-2229

Practice Phone: 970-874-5747
Practice Fax: 970-874-8187

1427250364 — MS. MARIAH EMOND MS, LPC
Practice Location Address:

195 STAFFORD LN
DELTA, CO
81416-2229

Practice Phone: 970-874-8981
Practice Fax: 970-874-4169

Directions to “DELTA PHYSICAL THERAPY AND SPORTS REHABILITATION PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.