| Connect Movement Center Llc | |
|
540 Front Street, Fairplay, CO 80440 | |
| (630) 881-7866 | |
| Not Available |
| Full Name | Connect Movement Center Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 540 Front Street, Fairplay, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114537438 | NPI | - | NPPES |
| 9000186967 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Lisa Bradford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669549010 PECOS PAC ID: 8426081977 Enrollment ID: I20110420000356 |
| Provider Name | Erin Hannigan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225677669 PECOS PAC ID: 3375974918 Enrollment ID: I20200514000915 |
| Provider Name | Connie Chen Farrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689208282 PECOS PAC ID: 5597196899 Enrollment ID: I20200520000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Connect Movement Center Llc Po Box 1945, Fairplay, CO 80440-1945 Ph: (719) 293-5198 | Connect Movement Center Llc 540 Front Street, Fairplay, CO 80440 Ph: (630) 881-7866 |
Fairplay Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 Front St, Fairplay, CO 80440 Phone: 719-836-1833 Fax: 719-836-3346 | |
Susan Hele Van Orden, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 548 C Front Street, Fairplay, CO 80440 Phone: 719-836-1833 Fax: 719-836-3346 | |
Julia F Anderson, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1271 Castello, #b, Fairplay, CO 80440 Phone: 719-836-1833 Fax: 719-836-1833 |