Stephen L Flowers, PT

Individual provider Active NPI Physical Therapist · Evergreen, CO

NPI 1508934522 · NPPES record last updated Jul 21, 2009

Key facts

NPI
1508934522
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
6955 (CO)
Practice address
30940 Stagecoach Blvd Ste E-110
Evergreen, CO 80439-7984
Phone
(303) 674-1594
Fax
(303) 674-9870
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Physical Therapy Specialists, PC Past
since Jul 1, 2005
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6955 CO Yes

Addresses

Primary practice location

30940 Stagecoach Blvd Ste E-110
Evergreen, CO 80439-7984

Mailing address

PO Box 21150
Boulder, CO 80308-4150
Phone (303) 674-1594

Other identifiers

IdentifierTypeStateIssuer
C802925OtherCOMEDICARE PTAN

Other providers in Evergreen, CO

All providers in Evergreen, CO · Physical Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.