MEDICARE: STEP ABOVE PHYSICAL THERAPY, P.C.

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	10038	CO

General Provider Information

NPI Number	:	1336476100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEP ABOVE PHYSICAL THERAPY, P.C.

Provider Business Mailing Address
First Line	:	2821 S. PARKER RD.
Second Line	:	SUITE 235
City	:	AURORA
State	:	CO
Zip	:	80014
Country	:	US
Telephone Number	:	303-915-7054
Fax Number	:

Provider Business Practice Location Address
First Line	:	2821 S PARKER RD
Second Line	:	SUITE 235
City	:	AURORA
State	:	CO
Zip	:	80014-2735
Country	:	US
Telephone Number	:	303-915-7054
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	DR. TATYANA SHEYKHET
Credential	:	PT, DPT
Telephone Number	:	303-915-7054

Provider Enumeration Date	:	11/15/2009
Last Update Date	:	11/15/2009

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