MEDICARE: PHYSICAL THERAPY CONSULTANTS INC.

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	4405	CO

General Provider Information

NPI Number	:	1801048913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL THERAPY CONSULTANTS INC.

Provider Business Mailing Address
First Line	:	8245 E 28TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2513
Country	:	US
Telephone Number	:	303-807-3974
Fax Number	:

Provider Business Practice Location Address
First Line	:	8245 E 28TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2513
Country	:	US
Telephone Number	:	303-807-3974
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	BRETT PURDOM
Credential	:
Telephone Number	:	303-807-3974

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	10/21/2008

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