MEDICARE: MR. SCOTT DOUGLAS BARLOW MPT

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	35383	CA
2	225100000X	Physical Therapist	10543	CO

General Provider Information

NPI Number	:	1922241322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT DOUGLAS BARLOW MPT

Provider Business Mailing Address
First Line	:	3750 DACORO LN STE 130
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-2508
Country	:	US
Telephone Number	:	303-870-8242
Fax Number	:	303-997-2145

Provider Business Practice Location Address
First Line	:	3740 DACORO LN
Second Line	:	#105
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-2503
Country	:	US
Telephone Number	:	303-870-8242
Fax Number	:	303-997-2145

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

Provider Enumeration Date	:	04/14/2009
Last Update Date	:	07/14/2020

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