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NPI Code Detail

MEDICARE: THE PHYSIOROOM, LLC

MEDICARE: THE PHYSIOROOM, LLC
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 Therapist

General Provider Information

NPI Number : 1366215147
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE PHYSIOROOM, LLC
Provider Business Mailing Address
First Line : PO BOX 21150
Second Line :
City : BOULDER
State : CO
Zip : 80308-4150
Country : US
Telephone Number : 720-316-9974
Fax Number : 720-294-0332
Provider Business Practice Location Address
First Line : 11665 RIDGELINE DR STE 140
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-3959
Country : US
Telephone Number : 720-316-9974
Fax Number : 720-294-0332
Authorized Official
Title or Position : SOLE OWNER
Name : CHRISTOPHER WAYNE ROBL
Credential : DPT
Telephone Number : 720-560-5326
Provider Enumeration Date : 11/02/2023
Last Update Date : 11/06/2025

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Directions to “THE PHYSIOROOM, LLC ” Practice Location

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