Refined Form Physical Therapy, Pllc is a
Physical Therapist based in Crestone, Colorado. Refined Form Physical Therapy, Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
3704 Carefree Way, Crestone, Colorado. It can be reached at their office (for appointments etc.) via phone at
(360) 713-7938.
NPI number for Refined Form Physical Therapy, Pllc is 1619601978 and their current mailing address is Po Box 404, Crestone, Colorado. Refined Form Physical Therapy, Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1619601978.
Healthcare Provider's Profile
Full Name | Refined Form Physical Therapy, Pllc |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 3704 Carefree Way, Crestone, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619601978
- Provider Enumeration Date: 07/13/2022
- Last Update Date: 03/22/2023
Medical Identifiers
Medical identifiers for Refined Form Physical Therapy, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619601978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Refined Form Physical Therapy, Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Refined Form Physical Therapy, Pllc Po Box 404, Crestone, CO 81131-0404 Ph: (719) 204-3434 | Refined Form Physical Therapy, Pllc 3704 Carefree Way, Crestone, CO 81131-0404 Ph: (360) 713-7938 |
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