MEDICARE: INTEGRATED PHYSICAL THERAPY OF COLORADO PC

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

General Provider Information

NPI Number	:	1952595647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED PHYSICAL THERAPY OF COLORADO PC

Provider Business Mailing Address
First Line	:	9200 W CROSS DR STE 520
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80123-0761
Country	:	US
Telephone Number	:	303-904-8133
Fax Number	:	303-904-8109

Provider Business Practice Location Address
First Line	:	9200 W CROSS DR STE 520
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80123-0761
Country	:	US
Telephone Number	:	303-904-8133
Fax Number	:	303-904-8109

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LORI HAY BUXTON
Credential	:
Telephone Number	:	303-904-8133

Provider Enumeration Date	:	09/05/2007
Last Update Date	:	08/07/2019

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