| Canon City Physiotherapy Inc | |
|
1107 Main St, Canon City, CO 81212-3413 | |
| (719) 269-1142 | |
| (719) 269-1413 |
| Full Name | Canon City Physiotherapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1107 Main St, Canon City, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154477065 | NPI | - | NPPES |
| 650021141 | Other | CO | RAILROAD MEDICARE |
| 68131364 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5795 (Colorado) | Primary |
| 225100000X | Physical Therapist | 6141 (Colorado) | Secondary |
| Provider Name | Paul W Paschall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225187768 PECOS PAC ID: 9931006749 Enrollment ID: I20031218000251 |
| Provider Name | Debra Paschall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619515897 PECOS PAC ID: 9739156944 Enrollment ID: I20230202002538 |
| Mailing Address | Practice Location Address |
|---|---|
| Canon City Physiotherapy Inc 1107 Main St, Canon City, CO 81212-3413 Ph: (719) 269-1142 | Canon City Physiotherapy Inc 1107 Main St, Canon City, CO 81212-3413 Ph: (719) 269-1142 |
Beverly Kaye Helm, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Dakota Ln, Canon City, CO 81212 Phone: 719-275-8656 Fax: 719-275-8858 | |
Maria Elena Weaver, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1333 Elm Ave, Canon City, CO 81212 Phone: 719-275-0550 | |
Jennifer Hare, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 Fairview Ave, Canon City, CO 81212 Phone: 719-275-0665 | |
Paul Wayne Paschall, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 903 Macon Ave, Canon City, CO 81212 Phone: 719-269-1142 Fax: 719-269-1413 | |
Mrs. Hillary Rae Lozano, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2605 Fax: 719-285-2601 | |
Rehab For All Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2285 Fremont Dr, Canon City, CO 81212 Phone: 719-425-7771 |