Connect Movement Center | |
540 Front Street, Fairplay, CO 80440 | |
(630) 881-7866 | |
Not Available |
Full Name | Connect Movement Center |
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Type | Facility |
Speciality | Physical Therapist |
Location | 540 Front Street, Fairplay, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114537438 | NPI | - | NPPES |
9000186967 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Lisa Bradford |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669549010 PECOS PAC ID: 8426081977 Enrollment ID: I20110420000356 |
Provider Name | Erin Hannigan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225677669 PECOS PAC ID: 3375974918 Enrollment ID: I20200514000915 |
Provider Name | Connie C Bentivolio |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689208282 PECOS PAC ID: 5597196899 Enrollment ID: I20200520000620 |
Mailing Address | Practice Location Address |
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Connect Movement Center Po Box 1945, Fairplay, CO 80440-1945 Ph: (719) 293-5198 | Connect Movement Center 540 Front Street, Fairplay, CO 80440 Ph: (630) 881-7866 |
Fairplay Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 540 Front St, Fairplay, CO 80440 Phone: 719-836-1833 Fax: 719-836-3346 | |
Susan Hele Van Orden, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 548 C Front Street, Fairplay, CO 80440 Phone: 719-836-1833 Fax: 719-836-3346 | |
Julia F Anderson, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1271 Castello, #b, Fairplay, CO 80440 Phone: 719-836-1833 Fax: 719-836-1833 |