MEDICARE: ANSHU SHARMA PT

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	20261	CO

General Provider Information

NPI Number	:	1881403566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANSHU SHARMA PT

Provider Business Mailing Address
First Line	:	15746 JACKSON CREEK PKWY STE B
Second Line	:
City	:	MONUMENT
State	:	CO
Zip	:	80132-7183
Country	:	US
Telephone Number	:	719-481-0899
Fax Number	:	719-481-0897

Provider Business Practice Location Address
First Line	:	15746 JACKSON CREEK PKWY STE B
Second Line	:
City	:	MONUMENT
State	:	CO
Zip	:	80132-7183
Country	:	US
Telephone Number	:	719-481-0899
Fax Number	:	719-481-0897

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2025
Last Update Date	:	01/06/2025

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Directions to “ ANSHU SHARMA PT” Practice Location

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