Yolanda Jimenez Azimi, PT
Individual provider Active NPI Physical Therapist · Brush, CO
NPI 1760770796 · NPPES record last updated Jul 11, 2011
Key facts
- NPI
- 1760770796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1285 (CO)
- Practice address
- 122 Hospital Rd
Brush, CO 80723-1702 - Phone
- (970) 842-2861
- NPI assigned
- Jul 11, 2011
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1285 | CO | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1285 | CO | Yes |
Addresses
Primary practice location
122 Hospital Rd
Brush, CO 80723-1702
Mailing address
122 Hospital Rd
Brush, CO 80723-1702
Phone (970) 842-2861
Other providers in Brush, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 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.