Colorado Physio Therapy Llc is a medicare enrolled "Clinic/center - Rehabilitation" provider in Aurora, Colorado. Their current practice location is
13710 E Rice Pl, Aurora, Colorado. You can reach out to their office (for appointments etc.) via phone at
(303) 693-2225.
Colorado Physio Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Colorado Physio Therapy Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1164939955.
Healthcare Provider's Profile
| Full Name | Colorado Physio Therapy Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation |
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| Location | 13710 E Rice Pl, Aurora, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164939955
- Provider Enumeration Date: 01/03/2018
- Last Update Date: 05/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931462736
- Enrollment ID: O20180409001778
Medical Identifiers
Medical identifiers for Colorado Physio Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164939955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Colorado Physio Therapy Llc acts as a billing entity for following providers:
| Provider Name | Mikhail Kaspin |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1831638485
PECOS PAC ID: 2668735465
Enrollment ID: I20180409002000 |
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| Provider Name | Clint Francis Tudahl |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1003410846
PECOS PAC ID: 7719399237
Enrollment ID: I20201207001878 |
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| Provider Name | Holly Johnson |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1033761762
PECOS PAC ID: 2567876667
Enrollment ID: I20210202000167 |
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| Provider Name | Leah Helen Calderon |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1902558174
PECOS PAC ID: 2567857675
Enrollment ID: I20220328000140 |
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| Provider Name | Kaylea A. Hermsen |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1104525641
PECOS PAC ID: 6608231915
Enrollment ID: I20230420000352 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colorado Physio Therapy Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Colorado Physio Therapy Llc
13710 E Rice Pl Ste 100,
Aurora, CO 80015-1075
Ph: (303) 693-2225 | Colorado Physio Therapy Llc
13710 E Rice Pl,
Aurora, CO 80015-1074
Ph: (303) 693-2225 |
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