Physiomed LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PHYSIOMED LLC

Doing business as

Physical Dimensions IHG

Practice address

88 Inverness Cir E
A105
Englewood, CO 80112-5304

Phone

(303) 925-1050

NPI assigned

Feb 16, 2016

Last updated

Feb 16, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tyler Corbin Fowler, DCNPI 1346202736

Title

Member

Phone

(303) 925-1050

Specialties & licenses 2

Addresses

Other names 1

• Physical Dimensions IHG Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Johnson, PA

  • Physician Assistant
  • Englewood, CO
  • NPI 1811601552
  Medicare reassignment NPD
• Tyler Corbin Fowler, DC

  • Sports Physician Chiropractor
  • Lone Tree, CO
  • NPI 1346202736
  Authorized official Same address or phone
• McKenzie Sue Reifschneider, DC

  • Chiropractor
  • Lone Tree, CO
  • NPI 1285696633
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1366801656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 INVERNESS CIR E",
            "address_2": "A105",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125304",
            "telephone_number": "303-925-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 INVERNESS CIR E",
            "address_2": "A105",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125304",
            "telephone_number": "303-925-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "CORBIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "303-925-1050",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Dimensions IHG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Phan, PHARMD
• Phillips Surgical PC
• Katherine Dolores Phillips, M.A.,LLC
• Physical Therapy & Industrial Services PC (Physical Therapy & Injury Specialists)
• Physician Pain Consultants. LLC.
• Physiotherapy Associates Inc (Select Physical Therapy)
• Marla Katherine Pidgeon, PMHNP-BC
• Michael Piechowski, BCBA
• Allison V Pierce, RN
• Jordyn Pierce

• General Practice Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.