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NPI Code Detail

MEDICARE: INTEGRAL PHYSICAL THERAPY LLC

MEDICARE: INTEGRAL 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
1225100000XPhysical Therapist
2103T00000XPsychologist
3208100000XPhysical Medicine & Rehabilitation Physician9785CO

General Provider Information

NPI Number : 1891151627
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRAL PHYSICAL THERAPY LLC
Provider Business Mailing Address
First Line : 11169 E I25 FRONTAGE RD STE C
Second Line :
City : FIRESTONE
State : CO
Zip : 80504-5211
Country : US
Telephone Number : 720-600-0370
Fax Number : 720-600-0374
Provider Business Practice Location Address
First Line : 11169 E I25 FRONTAGE RD STE C
Second Line :
City : FIRESTONE
State : CO
Zip : 80504-5211
Country : US
Telephone Number : 720-600-0370
Fax Number : 720-600-0374
Authorized Official
Title or Position : PRESIDENT
Name : CHRISTOPHER EDMUNDSON
Credential : PT, DPT
Telephone Number : 720-600-0370
Provider Enumeration Date : 01/08/2016
Last Update Date : 05/29/2026

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Directions to “INTEGRAL PHYSICAL THERAPY LLC ” Practice Location

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