MEDICARE: SPARQ PHYSICAL THERAPY 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	:	1487372173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPARQ PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	755 S PERRY ST STE 300
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-1923
Country	:	US
Telephone Number	:	720-465-4752
Fax Number	:	720-463-1978

Provider Business Practice Location Address
First Line	:	755 S PERRY ST STE 300
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-1923
Country	:	US
Telephone Number	:	720-463-4752
Fax Number	:	720-465-1978

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KELSY ANN RAYL
Credential	:	PT, DPT
Telephone Number	:	785-477-1093

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	06/01/2026

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