| Evergreen Sport & Spine Physical Therapy Pc | |
|
26719 Pleasant Park Rd Unit 220, Conifer, CO 80433-7756 | |
| (303) 838-1970 | |
| (303) 838-2433 |
| Full Name | Evergreen Sport & Spine Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 26719 Pleasant Park Rd Unit 220, Conifer, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346208659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Edith De Craene |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902991920 PECOS PAC ID: 9335198779 Enrollment ID: I20050112001103 |
| Provider Name | Traci G Hurley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982734729 PECOS PAC ID: 7113951443 Enrollment ID: I20050926000438 |
| Provider Name | Carolyn A Chenoweth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013026095 PECOS PAC ID: 5395891345 Enrollment ID: I20090916000801 |
| Provider Name | Katherine E Worden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023025962 PECOS PAC ID: 7517097181 Enrollment ID: I20100608000295 |
| Provider Name | Kimberly Kaiser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669420287 PECOS PAC ID: 5597714931 Enrollment ID: I20120308000806 |
| Provider Name | Kim M Aseltine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720068687 PECOS PAC ID: 0042458796 Enrollment ID: I20130607000566 |
| Provider Name | Catherine L Donahue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295888568 PECOS PAC ID: 4486633849 Enrollment ID: I20171226000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Sport & Spine Physical Therapy Pc 26719 Pleasant Park Rd Unit 220, Conifer, CO 80433-7756 Ph: (303) 838-1970 | Evergreen Sport & Spine Physical Therapy Pc 26719 Pleasant Park Rd Unit 220, Conifer, CO 80433-7756 Ph: (303) 838-1970 |
Joyce Harvey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26367 Conifer Rd Ste B, Conifer, CO 80433 Phone: 303-838-4047 | |
Abby Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26367 Conifer Rd Ste A, Conifer, CO 80433 Phone: 303-838-3900 Fax: 303-838-4047 | |
Tyler Compton, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25577 Conifer Rd Unit 125, Conifer, CO 80433 Phone: 303-838-7444 Fax: 303-838-7477 | |
Ms. Marjorie A Herweyer, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27551 Shadow Mountain Dr, Conifer, CO 80433 Phone: 303-838-7197 Fax: 303-838-7197 | |
Dr. Timothy Jordan Gotshall, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25577 Conifer Rd Unit 125, Conifer, CO 80433 Phone: 303-838-7444 | |
Lynette Reina, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25577 Conifer Rd Unit 125, Conifer, CO 80433 Phone: 303-838-7444 Fax: 303-838-7477 |