Randolph Cort Galbreath, PT
Individual provider Active NPI Physical Therapist · Crawford, CO
NPI 1598063158 · NPPES record last updated Mar 7, 2011
Key facts
- NPI
- 1598063158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 78001 Basalt Rd
Crawford, CO 81415-9407 - Phone
- (970) 424-2536
- NPI assigned
- Mar 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Parish Therapy Center LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
78001 Basalt Rd
Crawford, CO 81415-9407
Mailing address
78001 Basalt Rd.
Crawford, CO 81415
Phone (970) 424-2536
Other providers in Crawford, CO
- Alisha M Adrian
- Gateways to Transformation LLC
- Thomas Leach
- Jenny Lee Mitchell
- Needlerock Family Health Clinic
- Ryan Lee Peters
All providers in Crawford, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.