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NPI Code Detail

MEDICARE: PATRICK RYAN CARROLL DPT

MEDICARE: PATRICK RYAN CARROLL 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
12251X0800XOrthopedic Physical TherapistCO

General Provider Information

NPI Number : 1477404366
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK RYAN CARROLL DPT
Provider Business Mailing Address
First Line : 4842 XANTHIA ST APT 203
Second Line :
City : DENVER
State : CO
Zip : 80238-3627
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4601 QUEBEC ST STE C10
Second Line :
City : DENVER
State : CO
Zip : 80216-3422
Country : US
Telephone Number : 720-776-7520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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