MEDICARE: CS COLORADO CLINICS 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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1366301939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CS COLORADO CLINICS LLC

Provider Business Mailing Address
First Line	:	17230 JACKSON CREEK PKWY STE 170
Second Line	:
City	:	MONUMENT
State	:	CO
Zip	:	80132-7303
Country	:	US
Telephone Number	:	719-571-7080
Fax Number	:	719-571-7089

Provider Business Practice Location Address
First Line	:	17230 JACKSON CREEK PKWY STE 170
Second Line	:
City	:	MONUMENT
State	:	CO
Zip	:	80132-7303
Country	:	US
Telephone Number	:	719-571-7080
Fax Number	:	719-571-7089

Authorized Official
Title or Position	:	ADMINISTRATOR OMA
Name	:	MRS. ANGELA JO SKINNER
Credential	:
Telephone Number	:	720-667-7283

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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