| Shane R Burgess, PT, DPT | |
|
1650 Cochrane Cir Bldg 7505, Fort Carson, CO 80913-4604 | |
| (719) 526-5231 | |
| Not Available |
| Full Name | Shane R Burgess |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1650 Cochrane Cir Bldg 7505, Fort Carson, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891209706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT293973 (California) | Secondary |
| 225100000X | Physical Therapist | PTL.0017979 (Colorado) | Primary |
| Provider Name | Panorama Orthopedics And Spine Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295787950 PECOS PAC ID: 8426961087 Enrollment ID: O20031110000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane R Burgess, PT, DPT 1650 Cochrane Cir Bldg 7505, Credential Office Rm #163, Fort Carson, CO 80913-4604 Ph: (719) 526-5231 | Shane R Burgess, PT, DPT 1650 Cochrane Cir Bldg 7505, Fort Carson, CO 80913-4604 Ph: (719) 526-5231 |
Dr. Richard Burton Westrick, DPT, DSC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir # B7500, Fort Carson, CO 80913 Phone: 719-526-7234 Fax: 719-524-2258 | |
David Paul Robbins, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7120 | |
Marie Timm, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-526-7120 | |
Mark William Blackley, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Physical Therapy Clinic, Usa Meddac, Evans Army Community Hospital, Fort Carson, CO 80913 Phone: 719-526-7120 | |
Mr. Justin Michael Harding, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Evans Army Community Hospital, 1650 Cochrane Cir, Fort Carson, Co 80913, Fort Carson, CO 80913 Phone: 719-526-7000 | |
Kylie Michelle Olson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-524-6615 | |
Dr. Cheryl J Dunkley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-526-9047 |