| David Thomas Conlin, DPT | |
|
41 State Highway 67, Woodland Park, CO 80863-5008 | |
| (719) 686-0553 | |
| (719) 687-5374 |
| Full Name | David Thomas Conlin |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 41 State Highway 67, Woodland Park, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104168335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PTL9247 (Colorado) | Primary |
| Provider Name | Centura Ventures Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073882197 PECOS PAC ID: 8628989043 Enrollment ID: O20181221002214 |
| Mailing Address | Practice Location Address |
|---|---|
| David Thomas Conlin, DPT Po Box 801172, Kansas City, MO 64180-1172 Ph: (800) 953-0104 | David Thomas Conlin, DPT 41 State Highway 67, Woodland Park, CO 80863-5008 Ph: (719) 686-0553 |
Mrs. Marzelle Claassen Black, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16420 W Us Highway 24, Woodland Park, CO 80863 Phone: 719-374-6172 Fax: 719-374-6118 | |
Serc Of Woodland Park Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 E Grace Ave, Woodland Park, CO 80863 Phone: 719-687-3767 Fax: 719-687-2525 | |
Ashley Alvarez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41 N. Highway 67, Woodland Park, CO 80863 Phone: 719-686-0553 Fax: 719-687-5374 | |
Matthew Lawrence Thessing, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 406 E Grace Ave, Woodland Park, CO 80863 Phone: 719-687-3767 Fax: 719-687-2525 | |
Carol Greenstreet, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 41 N Highway 67, Woodland Park, CO 80863 Phone: 719-686-0553 Fax: 719-687-5374 | |
Mr. Brandon Stapanowich, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 Panther Way, Woodland Park, CO 80863 Phone: 719-357-3307 |