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NPI Code Detail

MEDICARE: PHENIX THERAPIES, LLC

MEDICARE: PHENIX THERAPIES, 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
1332B00000XDurable Medical Equipment & Medical SuppliesCO
2225100000XPhysical Therapist7832CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548637069
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHENIX THERAPIES, LLC
Provider Business Mailing Address
First Line : 1625 MEDICAL CENTER PT STE 180
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-5798
Country : US
Telephone Number : 719-344-9497
Fax Number : 719-358-6042
Provider Business Practice Location Address
First Line : 1625 MEDICAL CENTER PT STE 180
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-5798
Country : US
Telephone Number : 719-344-9497
Fax Number : 719-358-6042
Authorized Official
Title or Position : OWNER
Name : LORNE MACDONALD
Credential : DPT
Telephone Number : 719-344-9497
Provider Enumeration Date : 09/01/2015
Last Update Date : 06/14/2023

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Directions to “PHENIX THERAPIES, LLC ” Practice Location

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