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NPI Code Detail

MEDICARE: JANAE MUDGE PT, DPT

MEDICARE:   JANAE  MUDGE  PT, 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1578491155
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANAE MUDGE PT, DPT
Provider Business Mailing Address
First Line : 701 E HAMPDEN AVE STE 150
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80113-2890
Country : US
Telephone Number : 949-521-3102
Fax Number : 949-521-3102
Provider Business Practice Location Address
First Line : 701 E HAMPDEN AVE STE 150
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80113-2890
Country : US
Telephone Number : 949-521-3102
Fax Number : 949-521-3102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ JANAE MUDGE PT, DPT” Practice Location

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