| Ian Lacey, DPT | |
|
5670 Greenwood Plaza Blvd Ste Ll110, Greenwood Village, CO 80111-2448 | |
| (303) 694-9193 | |
| (303) 779-0566 |
| Full Name | Ian Lacey |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5670 Greenwood Plaza Blvd Ste Ll110, Greenwood Village, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538617758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTL.0019699 (Colorado) | Primary |
| Provider Name | Performance Rehabilitation Of Western New England Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1710919063 PECOS PAC ID: 7911979950 Enrollment ID: O20040810000712 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Lacey, DPT 5670 Greenwood Plaza Blvd, Greenwood Village, CO 80111-2448 Ph: (303) 694-9193 | Ian Lacey, DPT 5670 Greenwood Plaza Blvd Ste Ll110, Greenwood Village, CO 80111-2448 Ph: (303) 694-9193 |
John Nicholas Schaefer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7400 E Orchard Rd Ste 210-s, Greenwood Village, CO 80111 Phone: 720-504-0000 | |
Anne Przybyl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5801 S Quebec St, #100, Greenwood Village, CO 80111 Phone: 303-694-9193 Fax: 303-779-0566 | |
Joshua Posten, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5801 S Quebec St Ste 100, Greenwood Village, CO 80111 Phone: 303-770-0870 | |
Ryan D Palkoner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9250 E Costilla Ave Ste 201, Greenwood Village, CO 80112 Phone: 720-572-4873 Fax: 720-572-4821 | |
Anika Theisen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8301 E Prentice Ave Ste 207, Greenwood Village, CO 80111 Phone: 303-322-8300 | |
Bryan Crouch, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5801 S Quebec St, Suite 100, Greenwood Village, CO 80111 Phone: 303-694-9193 Fax: 303-779-0566 | |
Ana Mari Pajak, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9250 E Costilla Ave Ste 201, Greenwood Village, CO 80112 Phone: 720-572-4873 Fax: 720-572-4821 |