| Michelle Jo Herren, | |
|
1760 E Ken Pratt Blvd Ste 405, Longmont, CO 80504-5311 | |
| (720) 718-5400 | |
| (720) 718-5987 |
| Full Name | Michelle Jo Herren |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1760 E Ken Pratt Blvd Ste 405, Longmont, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154102622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTL.0019444 (Colorado) | Primary |
| 225100000X | Physical Therapist | 291902 (California) | Secondary |
| Provider Name | Covell Care And Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063695351 PECOS PAC ID: 9335223429 Enrollment ID: O20080228000078 |
| Provider Name | Step Up Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1780913798 PECOS PAC ID: 3375670037 Enrollment ID: O20100428000919 |
| Provider Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Provider Name | Colorado Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891461125 PECOS PAC ID: 7517363617 Enrollment ID: O20210914002694 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Jo Herren, 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-1103 | Michelle Jo Herren, 1760 E Ken Pratt Blvd Ste 405, Longmont, CO 80504-5311 Ph: (720) 718-5400 |
Mr. Robert M Prater, PHYSICAL THEAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2059 Condor Ct, Longmont, CO 80503 Phone: 303-324-6242 | |
Healther Lynn Stokes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1551 Professional Ln, #145, Longmont, CO 80501 Phone: 720-494-3290 Fax: 720-494-3294 | |
Crafted Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 Delaware Ave Unit E, Longmont, CO 80501 Phone: 720-204-4567 | |
Kathleen Marie Stupansky, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1551 Professional Ln, #145, Longmont, CO 80501 Phone: 720-494-3290 Fax: 720-494-3294 | |
Stephanie Marie Lyle Maxwell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 395 S Pratt Pkwy, Longmont, CO 80501 Phone: 303-776-6200 | |
Mr. Jason Donald Main, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1610 Dry Creek Dr, Longmont, CO 80503 Phone: 720-494-4750 Fax: 720-494-4751 | |
Sarah Elisabeth Troicky, PT,DPT,ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1380 Tulip St, Longmont, CO 80501 Phone: 303-485-4163 Fax: 303-485-4164 |