MEDICARE: COLIBRI PHYSICAL THERAPY REHAB AND PERFORMANCE, 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1487581674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLIBRI PHYSICAL THERAPY REHAB AND PERFORMANCE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 64541
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85728-4541
Country	:	US
Telephone Number	:	928-370-6232
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 E RIVER RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-5881
Country	:	US
Telephone Number	:	928-370-6232
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	DR. RAMSES CAMACHO
Credential	:	DPT
Telephone Number	:	928-370-6232

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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