Curtis Pillsbury, PTA
Individual provider Active NPI Physical Therapy Assistant · Divide, CO
NPI 1851729206 · NPPES record last updated Oct 24, 2013
Key facts
- NPI
- 1851729206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA.0013245 (CO)
- Practice address
- 112 Waldon Lake Cir
Divide, CO 80814-9747 - Phone
- (918) 770-6525
- NPI assigned
- Oct 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| PTA.0013245 | CO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA.0013245 | CO | Yes |
Addresses
Primary practice location
112 Waldon Lake Cir
Divide, CO 80814-9747
Mailing address
112 Waldon Lake Cir
Divide, CO 80814-9747
Phone (918) 770-6525
Other providers in Divide, CO
- Caitlyn Noble
- Veranique Nodine
- Galvin Nuss
- Peak Vista Community Health Centers
- William J Pearson
- Lori Ptak
- Jacqueline Revello
- Alicia Joy Sheets
- Emily Blair Slough
- Karissa Smith
All providers in Divide, CO · Physical Therapy Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2013. 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.