MEDICARE: MICHAEL CAREY

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	PTL.0020758	CO
2	225100000X	Physical Therapist		IL
3	225100000X	Physical Therapist	CP035348T	CO

General Provider Information

NPI Number	:	1396317673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL CAREY

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:	866-370-8206
Fax Number	:

Provider Business Practice Location Address
First Line	:	10439 CHAMBERS RD
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-8929
Country	:	US
Telephone Number	:	720-625-8198
Fax Number	:	720-792-4514

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

Provider Enumeration Date	:	07/15/2021
Last Update Date	:	01/16/2026

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Directions to “ MICHAEL CAREY ” Practice Location

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