MEDICARE: MOMENTUM PHYSICAL THERAPY PC

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		CO

General Provider Information

NPI Number	:	1720094329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOMENTUM PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	1939 WILMINGTON DR
Second Line	:	SUITE 101
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-6299
Country	:	US
Telephone Number	:	970-377-1422
Fax Number	:	970-377-1839

Provider Business Practice Location Address
First Line	:	1939 WILMINGTON DR
Second Line	:	SUITE 101
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-6299
Country	:	US
Telephone Number	:	970-377-1422
Fax Number	:	970-377-1839

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. MICHAEL JOHN RESSLER
Credential	:	MPT
Telephone Number	:	970-377-1422

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1730108598 — MR. MICHAEL JOHN RESSLER MPT
Practice Location Address:

1939 WILMINGTON DR , SUITE 101
FORT COLLINS, CO
80528-6299

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Practice Fax: 970-377-1839

1699795906 — MRS. MOLLIE KATHRYN RESSLER MPT
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1939 WILMINGTON DR , SUITE 101
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1225183668 — MRS. DENISE RENEE BENZ MPT
Practice Location Address:

1939 WILMINGTON DR , SUITE 101
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