Nina Carson, PT, DPT

Individual provider Active NPI Physical Therapist · Firestone, CO

NPI 1093375701 · NPPES record last updated Jun 14, 2019

Key facts

NPI
1093375701
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PTL.0016434 (CO)
Practice address
11169 E I25 Frontage Rd Ste C
Firestone, CO 80504-5211
Phone
(720) 600-0370
Fax
(720) 600-0374
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0016434 CO Yes

Addresses

Primary practice location

11169 E I25 Frontage Rd Ste C
Firestone, CO 80504-5211

Mailing address

11169 E I25 Frontage Rd Ste C
Firestone, CO 80504-5211

Other providers in Firestone, CO

All providers in Firestone, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.