| Michael Joseph Penny, | |
|
30940 Stagecoach Blvd Ste 110, Evergreen, CO 80439-7984 | |
| (303) 674-1594 | |
| (303) 674-9870 |
| Full Name | Michael Joseph Penny |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 30940 Stagecoach Blvd Ste 110, Evergreen, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013749647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTL.0020365 (Colorado) | Primary |
| Provider Name | Ideal Physical Therapy Of Texas Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Joseph Penny, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 | Michael Joseph Penny, 30940 Stagecoach Blvd Ste 110, Evergreen, CO 80439-7984 Ph: (303) 674-1594 |
Tfl Provider Network Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2932 Evergreen Pkwy, Evergreen, CO 80439 Phone: 303-800-2829 Fax: 720-408-0320 | |
Karen Cusack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 Keystone Dr, Evergreen, CO 80439 Phone: 720-341-4333 | |
Stuart Citrin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30670 Sun Creek Dr, Evergreen, CO 80439 Phone: 303-674-9446 | |
Weslee David Thompson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1262 Bergen Pkwy Unit E10, Evergreen, CO 80439 Phone: 303-674-7889 Fax: 303-674-8117 | |
Ms. Carrie Diflumeri, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 7027 Skunk Aly, Evergreen, CO 80439 Phone: 303-518-0439 | |
Jeannine Beebe Rauch, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30940 Stagecoach Blvd, Suite E-110, Evergreen, CO 80439 Phone: 303-674-1594 |