Parker Physical Therapy & Rehab Services, Inc
Organization Active NPI Physical Therapy Clinic/Center · Leadville, CO
NPI 1679804256 · NPPES record last updated Jan 5, 2017
Key facts
- NPI
- 1679804256
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 3404 (CO)
- Legal business name
- PARKER PHYSICAL THERAPY & REHAB SERVICES, INC
- Practice address
- 1601 Poplar St
Leadville, CO 80461-3059 - Phone
- (719) 486-2000
- Fax
- (719) 486-2001
- NPI assigned
- Jan 21, 2010
- Organization subpart
- No
Authorized official
- Name
- Kurt Parker, PT
- Title
- President
- Phone
- (719) 486-2000
Practitioners 5
-
Kurt Parker, PT
-
Ann Parker, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110127000539 | CO | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2466631346 |
Receives reassigned benefits from 4 practitioners Practice locations: Leadville, CO |
National Provider Directory
Locations
1601 Poplar St
Leadville, CO 80461
Phone (719) 486-2000
1609 Poplar St
Leadville, CO 80461
Phone (719) 486-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 3404 | CO | Yes |
Addresses
Primary practice location
1601 Poplar St
Leadville, CO 80461-3059
Mailing address
PO Box 505
Leadville, CO 80461-0505
Phone (719) 486-2000
Other providers in Leadville, CO
- Susanne Bridgette Neal
- Camille Ness
- Colleen Nielsen
- Tyler J Norton
- Omni Optometric Associates, LLC
- Ann Parker
- Kurt Parker
- Cornelia Patti
- Jennifer Pence
- Prajna Physical Therapy
All providers in Leadville, CO · Physical Therapy Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.