MEDICARE: REFINE 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1619713898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFINE PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	1626 N WASHINGTON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1407
Country	:	US
Telephone Number	:	832-633-7775
Fax Number	:

Provider Business Practice Location Address
First Line	:	1626 N WASHINGTON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-1407
Country	:	US
Telephone Number	:	303-219-0563
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST, BUSINESS OWNER
Name	:	CALEIGH CAMPBELL
Credential	:
Telephone Number	:	832-633-7775

Provider Enumeration Date	:	07/08/2024
Last Update Date	:	07/08/2024

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