MEDICARE: CALIBRATED PHYSICAL THERAPY, PLLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1932861572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIBRATED PHYSICAL THERAPY, PLLC

Provider Business Mailing Address
First Line	:	942 S PEARL ST UNIT 102
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-4282
Country	:	US
Telephone Number	:	720-804-0413
Fax Number	:

Provider Business Practice Location Address
First Line	:	942 S PEARL ST UNIT 102
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-4282
Country	:	US
Telephone Number	:	720-804-0413
Fax Number	:

Authorized Official
Title or Position	:	OWNDER
Name	:	ASHLEY SHRUM
Credential	:
Telephone Number	:	720-804-0413

Provider Enumeration Date	:	10/12/2021
Last Update Date	:	10/12/2021

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