MEDICARE: JAMIE L FARRIS 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
2	225100000X	Physical Therapist	5576	CO
3	2251H1200X	Hand Physical Therapist	5576	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5576	OTHER	CO	LICENSE #

General Provider Information

NPI Number	:	1881703692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE L FARRIS PT

Provider Business Mailing Address
First Line	:	8510 BRYANT ST STE 130
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-3845
Country	:	US
Telephone Number	:	720-497-6666
Fax Number	:	720-497-6777

Provider Business Practice Location Address
First Line	:	8510 BRYANT ST STE 130
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-3845
Country	:	US
Telephone Number	:	720-497-6666
Fax Number	:	720-497-6777

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	03/25/2021

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Directions to “ JAMIE L FARRIS PT” Practice Location

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