MEDICARE: STEVEN BRENTIN PT, DPT

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	0012269	CO

General Provider Information

NPI Number	:	1366872426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN BRENTIN PT, DPT

Provider Business Mailing Address
First Line	:	3035 ELDRIDGE ST
Second Line	:
City	:	GOLDEN
State	:	CO
Zip	:	80401-1406
Country	:	US
Telephone Number	:	720-644-9094
Fax Number	:	720-764-7198

Provider Business Practice Location Address
First Line	:	9200 W CROSS DR STE 504
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80123-0761
Country	:	US
Telephone Number	:	720-644-9094
Fax Number	:	720-764-7198

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2013
Last Update Date	:	03/13/2025

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